UNIVERSAL DIAGNOSTIC, INC. (NPI# 1083667489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083667489 |
| Entity Type | Organization |
| Organization Name | UNIVERSAL DIAGNOSTIC, INC. |
| Practice Address |
5420 Dashwood Dr Ste # 201 Houston TX 77081-5357 |
| Practice Telephone | 7136623000 |
| Practice Fax Number | 7136623049 |
| Mailing Telephone | 7136623000 |
| Mailing Fax Number | 7136623049 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MIKHAIL SHIFORENKO (PRESIDENT) |
| Authorized Official Telephone | 7136623000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013140979 | Universal Diagnostic, Inc. | Clinic/Center | 18455 Miramar Pkwy Ste 108, Miramar, FL 33029-5871 | 2009-08-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | UNIVERSAL DIAGNOSTIC, INC. | 30600 Telegraph Rd, Suite 3275, Bingham Farms, MI 48025 |
| Street Address |
5420 DASHWOOD DR STE # 201 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77081-5357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407855893 | Bellaire Family and General Practice Associates, P.a. | Family Medicine | 5420 Dashwood Dr, Suite 100, Houston, TX 77081-5357 | 2005-07-18 |
| 1538792072 | Obiageli Durousseau | Nurse Practitioner | 5420 Dashwood Dr, Houston, TX 77081-5357 | 2020-02-12 |
| 1851816490 | Johanna Pule | Social Worker | 5420 Dashwood Dr, Houston, TX 77081-5357 | 2017-08-04 |
| 1356722458 | Ut Physicians Specialty Services | Pediatrics | 5420 Dashwood Dr, Ste 100, Houston, TX 77081-5357 | 2015-06-15 |
| 1174920458 | Avenue Family Dentistry, Pllc | Dentist | 5420 Dashwood Dr, Suite 300, Houston, TX 77081-5357 | 2014-12-02 |
| 1851705305 | Ut Physicians | Family Medicine | 5420 Dashwood Dr, Houston, TX 77081-5357 | 2014-06-12 |
| 1447682521 | Kourtney Gisell Clark | Audiologist | 5420 Dashwood Dr, 310, Houston, TX 77081-5357 | 2013-07-31 |
| 1689019002 | Associates of Physical Therapy Specialists | Physical Therapist | 5420 Dashwood Dr, Suite 306, Houston, TX 77081-5357 | 2013-04-30 |
| 1982048385 | Jason S Grant | Physical Therapist | 5420 Dashwood Dr, Suite 306, Houston, TX 77081-5357 | 2013-04-29 |
| 1760744866 | Key Choice, LLC | Clinic/Center | 5420 Dashwood Dr, 207, Houston, TX 77081-5332 | 2012-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518461961 | Ahmed Elakkad | Radiology | 5704 Edgemoor Dr Apt 90, Houston, TX 77081 | 2018-03-21 |
| 1518471804 | Leslie Marquez | Nurse Practitioner | 6121 Hillcroft St Ste O, Houston, TX 77081 | 2017-11-22 |
| 1841704236 | Erick Noel Montoya Roll | Specialist/Technologist, Other | 5760 Gulfton St Apt 1549, Houston, TX 77081 | 2017-11-22 |
| 1023537743 | Pro Med Rx | Pharmacy | 5716 Bellaire Bldv, Ste. J, Houston, TX 77081 | 2017-09-13 |
| 1831627918 | Ali Ahmed Abdelkhalek Baiomy | Radiology | 5704 Edgemoor Dr, Apt 84, Houston, TX 77081 | 2017-06-01 |
| 1033657002 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 5505 West Loop S Ste 100, Houston, TX 77081 | 2017-02-09 |
| 1982148854 | Greater Houston Psychiatric Associates | Psychologist | 4888 Loop Central Dr, Ste 510, Houston, TX 77081 | 2016-12-13 |
| 1184075657 | Kimble Elisabeth Chentnik | Optometrist | 6699 Chimney Rock, Suite 201, Houston, TX 77081 | 2016-06-27 |
| 1780042226 | Graves Community Health Clinic | Clinic/Center | 6910 Chetwood Dr. Ste. B, Houston, TX 77081 | 2016-01-28 |
| 1588058432 | Mi Rae Kim | Nurse Practitioner | 5420 Dashwood Dr Ste 100, Houston, TX 77081 | 2015-03-27 |
| Find all providers in zip 77081 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518461961 | Ahmed Elakkad | Radiology | 5704 Edgemoor Dr Apt 90, Houston, TX 77081 | 2018-03-21 |
| 1578065967 | Erika G. L. C. Odisio | Radiology | 1400 Pressler St # 145084, Houston, TX 77030-3722 | 2018-03-02 |
| 1841798527 | Icgh - Imaging Centers of Greater Houston LLC | Radiology | 6300 Richmond Ave Ste 104, Houston, TX 77057-5931 | 2018-01-26 |
| 1528597580 | Mayur Kundan Virarkar | Radiology | 1515 Holcombe Blvd Unit 1459, Houston, TX 77030-4000 | 2017-06-05 |
| 1831627918 | Ali Ahmed Abdelkhalek Baiomy | Radiology | 5704 Edgemoor Dr, Apt 84, Houston, TX 77081 | 2017-06-01 |
| 1881139566 | Radiology Partners of Iowa Inc | Radiology | 7600 W Tidwell Rd, Suite 103, Houston, TX 77040-5714 | 2017-01-04 |
| 1902352701 | Mouin Ct-mri | Radiology | 11375 W Sam Houston Parkway, 150, Houston, TX 77031-2347 | 2016-08-31 |
| 1861888356 | Joe M Moody Sr. | Radiology | 5042 Tangle Ln., Houston, TX 77056-2114 | 2015-04-10 |
| 1689063430 | Kai Xu | Radiology | 6431 Fannin St Ste 2.116, Houston, TX 77030-1501 | 2015-01-16 |
| 1063817203 | Oakridge Imaging LLC | Radiology | 3301 S Shepherd Dr, Houston, TX 77098-3320 | 2014-10-30 |
| Find all providers in HOUSTON | ||||
Please comment or provide details below to improve the information on UNIVERSAL DIAGNOSTIC, INC..
| 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.