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NPI Code Detail

MEDICARE: MEDICAL IMAGING ASSOCIATES OF MEXICO MO

MEDICARE: MEDICAL IMAGING ASSOCIATES OF MEXICO MO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianMO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4DE6186OTHERMOMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21311OTHERMOBCBS MO PIN
3210116OTHERMOHEALTHLINK PIN

General Provider Information

NPI Number : 1487659140
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL IMAGING ASSOCIATES OF MEXICO MO
Provider Business Mailing Address
First Line : 201 E MONROE ST
Second Line : SUITE 202
City : MEXICO
State : MO
Zip : 65265-2852
Country : US
Telephone Number : 800-354-1088
Fax Number : 314-845-5668
Provider Business Practice Location Address
First Line : 620 E MONROE ST
Second Line :
City : MEXICO
State : MO
Zip : 65265-2919
Country : US
Telephone Number : 573-582-5000
Fax Number : 314-845-5668
Authorized Official
Title or Position : OWNER/RADIOLOGIST
Name : DR. GEORGE K CYRIAC
Credential : MD
Telephone Number : 573-582-8553
Provider Enumeration Date : 06/17/2005
Last Update Date : 07/21/2022

Similar Medicare Providers

1063400943 — GEORGE K CYRIAC MD
Practice Location Address:
620 E MONROE ST
MEXICO, MO
65265-2919
Practice Phone: 573-581-5850
Practice Fax: 573-581-8185
1801885702 — JAMES R NORTHERN DO
Practice Location Address:
620 E MONROE ST
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1952390122 — SSM AUDRAIN HEALTH CARE, INC
Practice Location Address:
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Practice Fax: 573-582-3723
1659355444 — MR. EUGENE ARTHUR CLERVI II MSW,LCSW
Practice Location Address:
620 E MONROE ST
MEXICO, MO
65265-2919
Practice Phone: 573-582-8383
Practice Fax: 573-582-3706
1154306629 — DR. GEORGE D COMFORT M.D.
Practice Location Address:
620 E MONROE ST
MEXICO, MO
65265-2919
Practice Phone: 573-582-4000
Practice Fax: 573-582-3712
1376528539 — DR. DAVID EARL OXFORD M.D.
Practice Location Address:
620 E MONROE ST
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65265-2919
Practice Phone: 573-582-5000
Practice Fax:

Directions to “MEDICAL IMAGING ASSOCIATES OF MEXICO MO ” Practice Location

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