University Diagnostics,LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

21330 Issued in AL

Legal business name

UNIVERSITY DIAGNOSTICS,LLC

Practice address

701 University Blvd E Ste 204
Tuscaloosa, AL 35401-7431

Phone

(205) 553-9171

Fax

(205) 553-9127

NPI assigned

Jan 30, 2007

Last updated

Nov 5, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gary R Newsom, M.D.NPI 1992723019

Title

Owner

Phone

(205) 553-9171

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary R Newsom, M.D.

  • Legal Medicine
  • Tuscaloosa, AL
  • NPI 1992723019
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1417093766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 UNIVERSITY BLVD E STE 204",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017431",
            "telephone_number": "205-553-9171",
            "fax_number": "205-553-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 UNIVERSITY BLVD E STE 204",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017431",
            "telephone_number": "205-553-9171",
            "fax_number": "205-553-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY DIAGNOSTICS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "NEWSOM",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-553-9171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "AL",
            "license": "21330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051558457",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Lea Ultsch, CRNP DSN
• Thaddeus Ulzen, MD
• Universal Care (social assistance personal care)
• University Chiropractic
• University Diagnostics of Tuscaloosa, Inc
• University Family Practice, P.C.
• University Health Service Pharmacy (University of Alabama Student Health Center)
• University Internal Medicine, PC
• University Medical Center OBGYN Associates
• University Orthodontics LLC

• Psychiatric Residential Treatment Facility in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Psychiatric Residential Treatment Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.