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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | APPLYING | 05 |
Other Name | Type Code |
---|---|
Sullivan Open MRI | Doing Business As Name - Organization |
Street Address |
102 C. PROGRESS DRIVE |
City | SULLIVAN |
State | MO |
Zip Code | 63080-2359 |
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 |
Find all providers in zip 63080 |
Taxonomy Code | 261QM1200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Magnetic Resonance Imaging (MRI) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598841140 | Mri of Springfield, Inc | Clinic/Center | 1420 E Bradford Pkwy, Springfield, MO 65804-6563 | 2006-10-27 |
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 |
Find all providers with the same taxonomy |
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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.