Organization Active NPI

United Diagnostic Services, LLC

  • Diagnostic Ultrasound Physician
  • Chicago, IL
National Provider Identifier
1740589175
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
UNITED DIAGNOSTIC SERVICES, LLC
Practice address
6124 N Milwaukee Ave Ste 2
Chicago, IL 60646-3820
Phone
(708) 424-9405
Fax
(708) 424-8038
NPI assigned
Mar 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Sami Baig
Title
President
Phone
(708) 424-9405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085U0001X Primary

Addresses

Primary practice location

6124 N Milwaukee Ave Ste 2
Chicago, IL 60646-3820

Mailing address

5533 W 109TH St Ste 101
Oak Lawn, IL 60453-5058
Phone (708) 424-9405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111117000745 IL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2062699192 Practice locations: Oak Lawn, IL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

110 S Chicago St
Lincoln, IL 62656
Phone (217) 732-1122

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1740589175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5533 W 109TH ST STE 101",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535058",
            "telephone_number": "708-424-9405",
            "fax_number": "708-424-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 N MILWAUKEE AVE STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606463820",
            "telephone_number": "708-424-9405",
            "fax_number": "708-424-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED DIAGNOSTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "BAIG",
        "authorized_official_first_name": "SAMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-424-9405"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.