Provider Demographics
NPI:1427495415
Name:UNIVERSAL DIAGNOSTIC SERVICES INC
Entity type:Organization
Organization Name:UNIVERSAL DIAGNOSTIC SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANASTASIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAKANTSEVA
Authorized Official - Suffix:
Authorized Official - Credentials:5125167189
Authorized Official - Phone:512-516-7189
Mailing Address - Street 1:7901 CAMERON RD BLDG 2
Mailing Address - Street 2:SUITE 144
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78754
Mailing Address - Country:US
Mailing Address - Phone:512-516-7189
Mailing Address - Fax:
Practice Address - Street 1:7901 CAMERON RD BLDG 2
Practice Address - Street 2:SUITE 144
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754
Practice Address - Country:US
Practice Address - Phone:512-516-7189
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-30
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty