Organization
CYBER DIAGNOSTIC MEDICINE LLC
Active
Other names
Hampton and Florissant Open MRI
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SYED HAIDER (PRESIDENT)
(314) 839-9901
Entity
Organization
Contact information
Practice address
11901 W FLORISSANT AVE, FLORISSANT, MO 63033-6778
(314) 839-9901
Mailing address
11901 W FLORISSANT AVE, FLORISSANT, MO 63033-6778
(314) 839-9901
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
NA
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0334
MERCY CAREPLUS
MO
01
—
141322400
US DEPT OF LABOR
MO
01
—
1601446
UHC
MO
01
—
193985
BCBS
MO
01
—
1952654
FIRST HEALTH HAMPTON
MO
01
—
2233063
FIRST HEALTH FLORISSANT
MO
01
—
2632204
AETNA HMO
MO
01
—
37636
HCUSA HAMPTON
MO
01
—
4446827
AETNA
MO
01
—
466492
HEALTHLINK
MO
01
—
49881
HCUSA FLORISSANT
MO
01
—
5495635
CCN
MO
05
—
717265102
—
MO
01
—
98923
GROUP HEALTH PLAN
MO
01
—
A149477
MULTIPLAN
MO
01
—
M0753
ONE CALL MEDICAL HAMPTON
MO
01
—
M0754
ONE CALL MEDICAL FLORISSA
MO
01
—
P00322519
MEDICARE RR
MO
Enumeration date
09/08/2006
Last updated
10/23/2007
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