Organization
UNITED DIAGNOSTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZAFER ALI KHAN (DIRECTOR)
(224) 636-3637
Entity
Organization
Contact information
Practice address
5304 BROADWAY, MERRILLVILLE, IN 46410-1555
(224) 636-3637
Mailing address
6124 N MILWAUKEE AVE, SUITE 2, CHICAGO, IL 60646-3830
(224) 636-3637
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
247100000X
Radiologic Technologist
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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