Provider Demographics
NPI:1053656769
Name:UNIVERSAL DIAGNOSTICS INC
Entity Type:Organization
Organization Name:UNIVERSAL DIAGNOSTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEKETOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-201-5839
Mailing Address - Street 1:5850 CANOGA AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-6554
Mailing Address - Country:US
Mailing Address - Phone:818-201-5839
Mailing Address - Fax:818-456-4618
Practice Address - Street 1:5850 CANOGA AVE STE 400
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-6554
Practice Address - Country:US
Practice Address - Phone:818-201-5839
Practice Address - Fax:818-456-4618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-06
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty