Organization
UNIVERSAL DIAGNOSTICS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JANIK IZRAEL (PRESIDENT/OWNER/CEO)
(347) 628-5009
Entity
Organization
Contact information
Practice address
2420 KNAPP ST, BROOKLYN, NY 11235-1006
(888) 826-3349
(888) 826-3349
Mailing address
2420 KNAPP ST, BROOKLYN, NY 11235-1006
(718) 841-7472
(718) 332-3663
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33D2061409
CLIA
NY
01
—
8782
PFI
NY
Enumeration date
08/06/2013
Last updated
01/28/2021
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