Organization
PURE IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SYED INAM HAIDER MBR (OWNER)
(314) 270-3939
Entity
Organization
Contact information
Practice address
12345 WEST BEND DRIVE, SAINT LOUIS, MO 63128-2104
(314) 270-3939
Mailing address
12345 W BEND DR, SUITE 105, SAINT LOUIS, MO 63128-2182
(314) 270-3939
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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