Organization
MEDICAL IMAGING ASSOCIATES OF MEXICO MO
Active
Organization
MEDICAL IMAGING ASSOCIATES OF MEXICO MO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE K CYRIAC MD (OWNER/RADIOLOGIST)
(573) 582-8553
Entity
Organization
Contact information
Practice address
620 E MONROE ST, MEXICO, MO 65265-2919
(573) 582-5000
(314) 845-5668
Mailing address
201 E MONROE ST, SUITE 202, MEXICO, MO 65265-2852
(800) 354-1088
(314) 845-5668
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1311
BCBS MO PIN
MO
01
—
210116
HEALTHLINK PIN
MO
05
—
711517003
—
MO
01
—
DE6186
MEDICARE RAILROAD
MO
Enumeration date
06/17/2005
Last updated
07/21/2022
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