Organization Name: | NYDIC OPEN MRI OF AMERICA-PENSACOLA |
NPI Number: | 1013952225 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAWRENCE M. BUCHWALTER (PRESIDENT/CEO) |
Mailing Address: | 5330 N Davis Hwy Pensacola |
State: | FL US |
Postal Code: | 325032006 |
Phone Number: | 8504848666 |
Fax Number: | 8504847663 |
NPI Enumeration Date: | 06/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
Taxonomy Definition: |