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Organization

CYRUS DIAGNOSTIC IMAGING, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MASOUD VAHDATPOUR MBA; BS (RT)), RDMS (ADMIN)
(407) 321-3012
Entity
Organization

Contact information

Practice address
165 WAYMONT CT, LAKE MARY, FL 32746-6093
(407) 321-3012
(407) 321-9006
Mailing address
165 WAYMONT CT, LAKE MARY, FL 32746-6093
(407) 321-3012
(407) 321-9006

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
ME30781
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
030234100
FL
Enumeration date
04/09/2012
Last updated
04/09/2012
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