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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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