Healthcare Provider Details

I. General information

NPI: 1750353249
Provider Name (Legal Business Name): UNIVERSAL IMAGING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1159 E MICHIGAN AVE
YPSILANTI MI
48198-5807
US

IV. Provider business mailing address

1159 E MICHIGAN AVE
YPSILANTI MI
48198-5807
US

V. Phone/Fax

Practice location:
  • Phone: 734-445-0111
  • Fax: 734-528-0659
Mailing address:
  • Phone: 734-445-0111
  • Fax: 734-528-0659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2471M1202X
TaxonomyMagnetic Resonance Imaging Radiologic Technologist
License Number
License Number State

VIII. Authorized Official

Name: MR. PHIL YOUNG
Title or Position: PRESIDENT
Credential:
Phone: 734-904-4023