# UNITED DIAGNOSTIC SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053676080
- **Authorized official:** MR. ZAFER ALI KHAN (DIRECTOR)
- **Authorized official phone:** (224) 636-3637

## Contact information

- **Practice address:** 5304 BROADWAY, MERRILLVILLE, IN 46410-1555
- **Practice address phone:** (224) 636-3637
- **Mailing address:** 6124 N MILWAUKEE AVE, SUITE 2, CHICAGO, IL 60646-3830
- **Mailing address phone:** (224) 636-3637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 247100000X | Radiologic Technologist | — | NULL | — |
| 247100000X | Radiologic Technologist | — | — | — |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 07/05/2012
- **Last updated:** 07/05/2012