| Organization Name: | UNIVERSAL DIAGNOSTIC, INC. |
| NPI Number: | 1013140979 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LUIS PEREZ (OWNER) |
| Mailing Address: | 18455 Miramar Pkwy Ste 108 Miramar |
| State: | FL US |
| Postal Code: | 330295871 |
| Phone Number: | 9548621432 |
| Fax Number: | 9548621437 |
| NPI Enumeration Date: | 08/26/2009 |
| NPI Last Update Date: | 08/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |