Organization
UNIVERSAL DIAGNOSTIC & IMAGING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TINA KOVAL (CEO)
(747) 222-5855
Entity
Organization
Contact information
Practice address
5152 SEPULVEDA BLVD STE 117, SHERMAN OAKS, CA 91403-1154
(747) 222-5855
Mailing address
5152 SEPULVEDA BLVD STE 117, SHERMAN OAKS, CA 91403-1154
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
CA
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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