Universal Rai Diagnostic, Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

UNIVERSAL RAI DIAGNOSTIC, INC.

Practice address

5906 Etiwanda Ave Unit 18
Tarzana, CA 91356-1649

Phone

(818) 881-0440

Fax

(818) 705-0861

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Aliksandr Beketau

Title

President

Phone

(818) 881-0440

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730307679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5906 ETIWANDA AVE UNIT 18",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561649",
            "telephone_number": "818-881-0440",
            "fax_number": "818-705-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5906 ETIWANDA AVE UNIT 18",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561649",
            "telephone_number": "818-881-0440",
            "fax_number": "818-705-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL RAI DIAGNOSTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEKETAU",
        "authorized_official_first_name": "ALIKSANDR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-881-0440",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.