Provider Demographics
NPI:1598645426
Name:UNIQUE DIAGNOSTICS LLC
Entity type:Organization
Organization Name:UNIQUE DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TORI
Authorized Official - Middle Name:L
Authorized Official - Last Name:VINES
Authorized Official - Suffix:
Authorized Official - Credentials:PHLEBOTOMIST,
Authorized Official - Phone:334-734-3772
Mailing Address - Street 1:1536 BAYWOOD VILLAGE CT
Mailing Address - Street 2:
Mailing Address - City:MOUNT DORA
Mailing Address - State:FL
Mailing Address - Zip Code:32757-2100
Mailing Address - Country:US
Mailing Address - Phone:325-734-3772
Mailing Address - Fax:
Practice Address - Street 1:2600 W OLD US HIGHWAY 441 STE 974
Practice Address - Street 2:
Practice Address - City:MOUNT DORA
Practice Address - State:FL
Practice Address - Zip Code:32757-3548
Practice Address - Country:US
Practice Address - Phone:334-734-3772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebologyGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No291U00000XLaboratoriesClinical Medical Laboratory
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle