TEAM DIAGNOSTICS LLC


Address: 102 C. Progress Drive, Sullivan, MO 63080-2359
Phone: 5734688673

TEAM DIAGNOSTICS LLC (NPI# 1750583423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750583423
Entity Type Organization
Organization Name TEAM DIAGNOSTICS LLC
Other Organization Name SULLIVAN OPEN MRI
Practice Address 102 C. Progress Drive
Sullivan
MO 63080-2359
Practice Telephone 5734688673
Practice Fax Number 5734688674
Mailing Telephone 5734688673
Mailing Fax Number 5734688674
Enumeration Date 2007-06-04
Last Update Date 2011-12-27
Authorized Official Name DR. NASEEM A SHEKHANI (CEO)
Authorized Official Telephone 5734688673
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1200X Clinic/Center
Specialization: Magnetic Resonance Imaging (MRI)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MO APPLYING 05

Other Provider/Organization Names

Other Name Type Code
Sullivan Open MRI Doing Business As Name - Organization

Office Location

Street Address 102 C. PROGRESS DRIVE
City SULLIVAN
State MO
Zip Code 63080-2359

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669896650 Lindsay Nicole Arnette Physical Therapist 940 Mattox Drive, Meramec Nursing Center, Sullivan, MO 63080 2014-02-11
1407099500 Victorian Manor of Sullivan Assisted Living Facility 1250 East Springfield Rd, Sullivan, MO 63080 2009-04-20
1578729992 Bio-medical Applications of Missouri, Inc. Clinic/Center 123 Progress Parkway, Sullivan, MO 63080 2008-08-05
1386826089 Sellers Family Chiropractic PC Chiropractor 405 Wal Mart Drive, Sullivan, MO 63080 2007-12-04
1740495282 Tasha Marie Rodriguez Physical Therapist 107 Congress Dr., Sullivan, MO 63080 2007-05-10
1033261649 Clyde William Sellers II Chiropractor 405 Walmart Dr., Sullivan, MO 63080 2007-01-17
1407954209 Sara Skidmore Occupational Therapist 2022 Phoenix Drive, Sullivan, MO 63080 2006-09-20
1083724116 Sharon A Titter Physical Therapist 107 Progress Dr, Sullivan, MO 63080 2006-08-30
1437135571 Thanh Duy Vo Pediatrics 486 N Church St, Sullivan, MO 63080 2005-12-20
1508849316 Air Evac Ems Inc Ambulance 673 Sappington Bridge Rd, Sullivan, MO 63080 2005-11-25
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Taxonomy Information

Taxonomy Code 261QM1200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Magnetic Resonance Imaging (MRI)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1437253754 Cyber Diagnostic Medicine LLC Clinic/Center 11901 W Florissant Ave, Florissant, MO 63033-6778 2006-09-08
1679688360 Rivercity Imaging Clinic/Center 623 S Silver Springs Rd Ste 720, Cape Girardeau, MO 63703-7500 2006-08-20
1073522801 Big Bend Imaging, LLC Clinic/Center 1001 S Kirkwood Rd Ste 110, Kirkwood, MO 63122-7250 2006-08-08
1730124918 Open Mri of Missouri II, L.L.C. Clinic/Center 5650 Mexico Rd, Suite 10, Saint Peters, MO 63376-1696 2006-06-19
1659325876 Precision Imaging, LLC Clinic/Center 1028 Old Des Peres Rd, Saint Louis, MO 63131-1865 2006-05-20
1407845472 Poplar Bluff Medical Partners, LLC Clinic/Center 221 Physicians Park, Poplar Bluff, MO 63901-3956 2005-10-20
1508869397 Open Mri of Missouri II LLC Clinic/Center 3431 S Hwy 291, Independence, MO 64057-2341 2005-05-24
1548685753 Spero Medical Imaging LLC Clinic/Center 17020 E Us Highway 40, Suite 4, Independence, MO 64055-5361 2014-02-25
1225466691 Alpha Medical Imaging Inc Clinic/Center 5650 Mexico Rd, Suite 15, Saint Peters, MO 63376-1696 2013-10-23
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Competitor

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City SULLIVAN
Zip Code 63080

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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