Provider Demographics
NPI:1063286169
Name:UNIQUE DIAGNOSTICS CENTER INC
Entity type:Organization
Organization Name:UNIQUE DIAGNOSTICS CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGOR
Authorized Official - Middle Name:
Authorized Official - Last Name:PARONIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-482-5000
Mailing Address - Street 1:12512 VICTORY BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-3180
Mailing Address - Country:US
Mailing Address - Phone:818-482-5500
Mailing Address - Fax:
Practice Address - Street 1:12512 VICTORY BLVD STE A
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-3180
Practice Address - Country:US
Practice Address - Phone:818-482-5500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology