| Organization Name: | UNIVERSAL DIAGNOSTICS INC |
| NPI Number: | 1053656769 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NATALYA BEKETOVA (DIRECTOR) |
| Mailing Address: | 5906 Etiwanda Ave Unit 18 Tarzana |
| State: | CA US |
| Postal Code: | 913561649 |
| Phone Number: | 3102792761 |
| Fax Number: | 8187050861 |
| NPI Enumeration Date: | 12/06/2012 |
| NPI Last Update Date: | 12/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0208X |
| License Number: | 0002649184-0001-7 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mobile |
| Taxonomy Definition: | |