MEDICARE: UNIVERSAL DIAGNOSTICS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1760325013
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL DIAGNOSTICS, LLC

Provider Business Mailing Address
First Line	:	2080 E FLAMINGO RD STE 115
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5176
Country	:	US
Telephone Number	:	725-777-3787
Fax Number	:

Provider Business Practice Location Address
First Line	:	2080 E FLAMINGO RD STE 115
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5176
Country	:	US
Telephone Number	:	725-777-3787
Fax Number	:

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	FRIATNA TOKUZ
Credential	:
Telephone Number	:	702-274-1688

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/14/2026

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Directions to “UNIVERSAL DIAGNOSTICS, LLC ” Practice Location

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