UNITED DIAGNOSTIC SERVICES LLC (NPI# 1053676080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053676080 |
| Entity Type | Organization |
| Organization Name | UNITED DIAGNOSTIC SERVICES LLC |
| Practice Address |
5304 Broadway Merrillville IN 46410-1555 |
| Mailing Address |
6124 N Milwaukee Ave Suite 2 Chicago IL 60646-3830 |
| Practice Telephone | 2246363637 |
| Mailing Telephone | 2246363637 |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-07-05 |
| Authorized Official Name | MR. ZAFER ALI KHAN (DIRECTOR) |
| Authorized Official Telephone | 2246363637 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 247100000X | Radiologic Technologist | Technologists, Technicians & Other Technical Service Providers | ||
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912569781 | United Diagnostic Services LLC | Internal Medicine | 895 Parsons Ave Ste 1b, Columbus, OH 43206-2398 | 2019-07-02 |
| 1205496866 | United Diagnostic Services LLC | Internal Medicine | 4115 Annandale Rd Ste 301d, Annandale, VA 22003-2500 | 2019-06-17 |
| 1932669181 | United Diagnostic Services LLC | Internal Medicine | 895 Parsons Ave Unit B Ste 1, Columbus, OH 43206-2398 | 2019-03-23 |
| 1538636055 | United Diagnostic Services LLC | Radiology | 12100 Ford Rd Ste B326, Farmers Branch, TX 75234-7243 | 2018-11-02 |
| 1043872880 | United Diagnostic Services LLC | Internal Medicine | 12100 Ford Rd Ste B326, Farmers Branch, TX 75234-7243 | 2019-07-02 |
| 1588226286 | United Diagnostic Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4115 Annandale Rd Ste 301d, Annandale, VA 22003-2500 | 2019-07-02 |
| 1184192544 | United Diagnostic Services LLC | Internal Medicine | 12100 Ford Rd Ste B326, Dallas, TX 75234-7243 | 2018-11-05 |
| 1972866184 | United Diagnostic Services LLC | Internal Medicine | 5304 Broadway, Merrillville, IN 46410-1555 | 2012-06-21 |
| Street Address |
5304 BROADWAY |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410-1555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881660785 | Parviz M Soleymani | Obstetrics & Gynecology | 5304 Broadway, Merrillville, IN 46410-1555 | 2006-02-28 |
| 1689064297 | Nwi Medical Consultants | Family Medicine | 5304 Broadway, Merrillville, IN 46410-1555 | 2015-02-03 |
| 1831588458 | Md Emergent Care Inc | Clinic/Center | 5304 Broadway, Merrillville, IN 46410 | 2015-01-20 |
| 1508287111 | Maar Indiana Inc. | Pharmacy | 5304 Broadway, Merrillville, IN 46410-1555 | 2013-12-27 |
| 1972866184 | United Diagnostic Services LLC | Internal Medicine | 5304 Broadway, Merrillville, IN 46410-1555 | 2012-06-21 |
| 1821360041 | Nwi Medical Group LLC | Family Medicine | 5304 Broadway, Merrillville, IN 46410-1555 | 2012-02-03 |
| 1841344165 | Northwest Indiana Medical Consultants PC | Legal Medicine | 5304 Broadway, Merrillville, IN 46410-1555 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215254891 | Medlife Diagnostic Services, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 8892 Louisiana St Ste B, Merrillville, IN 46410-7153 | 2010-04-22 |
| 1508106303 | Ascot Diagnostic Services, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5490 Broadway, Merrillville, IN 46410-1675 | 2013-02-15 |
| 1245579341 | Medlife Diagnostic Services, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 8892 Louisiana St Ste B, Merrillville, IN 46410-7153 | 2013-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720545296 | All-stat Portable In, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3458 Stellhorn Rd Ste B, Fort Wayne, IN 46815-4630 | 2019-02-21 |
| 1053833194 | Crown Radiology Associates | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5371 72nd Ave, Schererville, IN 46375-5352 | 2017-07-11 |
| 1588049746 | Schryver Medical Sales and Marketing LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3815 River Crossing Pkwy, Suite 100, Indianapolis, IN 46240-7746 | 2015-07-29 |
| 1205227881 | Symphony Diagnostic Services No 1 LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2901a Parnell Ave, Fort Wayne, IN 46805-2548 | 2015-02-18 |
| 1164850996 | Touhy Diagnostic At Home, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1955 Harder Ct, Suite# E, Schererville, IN 46375-1696 | 2013-10-14 |
| 1306174487 | Indy Medical Supplies LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 650 S 800 E, Zionsville, IN 46077-9716 | 2009-11-30 |
| 1922241835 | Mobileradiology.org LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 13645 Mckinley Hwy, Unit A, Mishawaka, IN 46545-7492 | 2009-04-08 |
| 1659578409 | Northeast X-ray | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2928 Parnell Ave, Fort Wayne, IN 46805-2500 | 2007-06-27 |
| 1831254424 | Midwest X-ray, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1031 Mount Auburn Rd, Evansville, IN 47720-8226 | 2006-12-26 |
| 1326012873 | Mobile Health Care, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4511 N Johnson Rd, Michigan City, IN 46360-7675 | 2006-02-13 |
| Find all providers with the same taxonomy | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
Please comment or provide details below to improve the information on UNITED DIAGNOSTIC SERVICES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.