Organization
TEAM DIAGNOSTICS LLC
Active
Other names
Sullivan Open MRI
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NASEEM A SHEKHANI MD (CEO)
(573) 468-8673
Entity
Organization
Contact information
Practice address
102 C. PROGRESS DRIVE, SULLIVAN, MO 63080-2359
(573) 468-8673
(573) 468-8674
Mailing address
102 C. PROGRESS DRIVE, SULLIVAN, MO 63080-2359
(573) 468-8673
(573) 468-8674
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPLYING
—
MO
Enumeration date
06/04/2007
Last updated
12/27/2011
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