Organization
MIDWEST DIAGNOSTIC MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SYED HAIDER (CEO)
(636) 284-9012
Entity
Organization
Contact information
Practice address
11905 W FLORISSANT AVE, SUITE #200, FLORISSANT, MO 63033-6778
(855) 984-1465
(855) 984-1469
Mailing address
11905 W FLORISSANT AVE, SUITE #200, FLORISSANT, MO 63033-6778
(855) 984-1465
(855) 984-1469
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/15/2014
Last updated
06/05/2015
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