NPI Code Detail JSON Logo

1649571761 NPI number — UNITED DIAGNOSTIC SERVICES, LLC

NPI Number: 1649571761
Health Care Provider/Practitioner: UNITED DIAGNOSTIC SERVICES, LLC

Information about “1649571761” NPI (UNITED DIAGNOSTIC SERVICES, LLC) exists in 1649571761 in HTML format HTML  |  1649571761 in plain Text format TXT  |  1649571761 in PDF (Portable Document Format) PDF  |  1649571761 in an XML format XML  formats.

NPI Number : 1649571761 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1649571761",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "UNITED DIAGNOSTIC SERVICES, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5533 W 109TH ST STE 101",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OAK LAWN",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60453-5058",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "708-424-9405",
    "MailingAddressFaxNumber": "708-424-9407",
    "FirstLinePracticeLocationAddress": "110 S CHICAGO ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LINCOLN",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "62656-2719",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "217-732-1122",
    "PracticeLocationAddressFaxNumber": "217-732-1144",
    "EnumerationDate": "11/04/2010",
    "LastUpdateDate": "01/26/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BAIG",
    "AuthorizedOfficialFirstName": "SAMI",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "708-424-9405",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "335V00000X",
        "TaxonomyName": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.