Cyber Diagnostic Medicine LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

License

NA Issued in MO

Legal business name

CYBER DIAGNOSTIC MEDICINE LLC

Practice address

11901 W Florissant Ave
Florissant, MO 63033-6778

Phone

(314) 839-9901

NPI assigned

Sep 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Syed Haider

Title

President

Phone

(314) 839-9901

Specialties & licenses 1

Addresses

Other identifiers 18

Other names 1

• Hampton and Florissant Open MRI Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Abodeely, M.D.

  • Diagnostic Radiology Physician
  • Saint Louis, MO
  • NPI 1578554762
  NPD (past)
• Qasim Mustafa Bajwa, MD

  • Diagnostic Radiology Physician
  • Sikeston, MO
  • NPI 1578548517
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1437253754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 W FLORISSANT AVE",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336778",
            "telephone_number": "314-839-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 W FLORISSANT AVE",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336778",
            "telephone_number": "314-839-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYBER DIAGNOSTIC MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "HAIDER",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-839-9901",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "MO",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "141322400",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH HAMPTON",
            "identifier": "1952654",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "98923",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE CALL MEDICAL FLORISSA",
            "identifier": "M0754",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCUSA HAMPTON",
            "identifier": "37636",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "466492",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2632204",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCUSA FLORISSANT",
            "identifier": "49881",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "717265102",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00322519",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY CAREPLUS",
            "identifier": "0334",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE CALL MEDICAL HAMPTON",
            "identifier": "M0753",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "1601446",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "193985",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "5495635",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH FLORISSANT",
            "identifier": "2233063",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4446827",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "A149477",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hampton and Florissant Open MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tykeria Cunningham
• Curtis 4 Care Family Practice
• Glenn Allen Curtis, REGISTERED NURSE
• Shayla Curtis, FNP-C
• Joseph Dennis Cusumano, PH.D., LPC, NCC
• D&K Home Healthcare, LLC
• Latricia Dale, LMT
• Tommie Dale
• Andrea Christina Dalton, D.C., R. N.
• Jeanine Dalton, O.D.

• Magnetic Resonance Imaging (MRI) Clinic/Center in Florissant, MO
• Providers in Florissant, MO by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.