# TEAM DIAGNOSTICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sullivan Open MRI
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750583423
- **Authorized official:** DR. NASEEM A SHEKHANI MD (CEO)
- **Authorized official phone:** (573) 468-8673

## Contact information

- **Practice address:** 102 C. PROGRESS DRIVE, SULLIVAN, MO 63080-2359
- **Practice address phone:** (573) 468-8673
- **Practice address fax:** (573) 468-8674
- **Mailing address:** 102 C. PROGRESS DRIVE, SULLIVAN, MO 63080-2359
- **Mailing address phone:** (573) 468-8673
- **Mailing address fax:** (573) 468-8674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/04/2007
- **Last updated:** 12/27/2011