UNIVERSAL DIAGNOSTIC, INC. NPI 1013140979

Clinic/Center (Radiology) in Miramar, FL

NPI 1013140979 Organization Clinic/Center Radiology

About UNIVERSAL DIAGNOSTIC, INC.

Universal Diagnostic, Inc. is a provider established in Miramar, Florida specializing in clinic/center (radiology) . The NPI number of Universal Diagnostic, Inc. is 1013140979 and was assigned on August 2009. The practitioner's primary taxonomy code is 261QR0200X with license number ========= (FL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Luis Perez Rn (Owner)

NPI

1013140979

Provider NameUNIVERSAL DIAGNOSTIC, INC.
Provider Location Address18455 MIRAMAR PKWY STE 108 MIRAMAR, FL 33029
Provider Mailing Address18455 MIRAMAR PKWY STE 108 MIRAMAR, FL 33029
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date08-26-2009
Last Update Date08-26-2009


Primary Taxonomy

Taxonomy Code261QR0200X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationRadiology
License No.=========
License StateFL

Business Address

UNIVERSAL DIAGNOSTIC, INC.
18455 MIRAMAR PKWY STE 108
MIRAMAR, FL
ZIP 33029
Phone: (954) 862-1432
Fax: (954) 862-1437

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Mailing Address

UNIVERSAL DIAGNOSTIC, INC.
18455 MIRAMAR PKWY STE 108
MIRAMAR, FL
ZIP 33029
Phone: (954) 862-1432
Fax: (954) 862-1437



Authorized Official

Authorized Official Name LUIS PEREZ RN
Authorized Official TitleOWNER
Authorized Official Phone(954) 862-1432

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275749657MR. LUIS FRANCISCO PEREZ RN
Individual
Technician18455 MIRAMAR PKWY STE 108
MIRAMAR, FL 33029
(954) 862-1432

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.