U S DIAGNOSTIC INC
10-Q, EX-10.9, 2000-11-14
MEDICAL LABORATORIES
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                                                                    EXHIBIT 10.9

US Diagnostic Inc. Letterhead



November 6, 2000

David McIntosh
7932 Flagler Court South
West Palm Beach, FL  33405

Dear Dave:


Please be advised that the Letter Agreement dated April 27, 2000 between you and
US Diagnostic is extended through September and October, 2000, on the same terms
and conditions in the original letter.

If you should have any questions, please let me know.

Sincerely,



/s/ Joseph A. Paul
----------------------------------------
    Joseph A. Paul
    President & Chief Executive Officer


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