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General NPI Number Information
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NPI Number | 1437253754
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Entity Type | Organization
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Legal Business Name | CYBER DIAGNOSTIC MEDICINE LLC
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 10/23/2007
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Provider Practice Location Address
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Address Line | 11901 W FLORISSANT AVE
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City | FLORISSANT
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State | MO
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Zip | 63033-6778
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Country | US
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Telephone | 314-839-9901
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Fax |
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Provider Business Mailing Address
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Address Line | 11901 W FLORISSANT AVE
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City | FLORISSANT
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State | MO
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Zip | 63033-6778
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Country | US
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Telephone | 314-839-9901
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SYED HAIDER
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Credential |
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Telephone | 314-839-9901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number | NA
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License Number State | MO
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