Universal Diagnostic Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

UNIVERSAL DIAGNOSTIC LABORATORY LLC

Practice address

2500 Hollywood Blvd Ste 305
Hollywood, FL 33020-6615

Phone

(754) 900-5688

Fax

(754) 301-7831

NPI assigned

Nov 10, 2022

Organization subpart

No

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

Authorized official

Name

Alexandr Zaitsev, MDNPI 1588635791

Title

Owner

Phone

(754) 900-5688

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Alexandr Zaitsev, MD

  • Anesthesiology Physician
  • Elizabeth, NJ
  • NPI 1588635791
  NPD (past) Authorized official

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1992413744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1140",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076021140",
            "telephone_number": "754-900-5688",
            "fax_number": "754-301-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOLLYWOOD BLVD STE 305",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206615",
            "telephone_number": "754-900-5688",
            "fax_number": "754-301-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL DIAGNOSTIC LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "ZAITSEV",
        "authorized_official_first_name": "ALEXANDR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-900-5688",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• United Sleep Diagnostics, LLC
• United Therapy Solutions LLC
• United Therapy Solutions LLC
• United Wellness Center, Inc
• Unity Care Management Corp
• Universal Healing Century Corp
• Universal Medical Center PLLC
• Universal Medical Supplies, LLC
• Universal Physical Medicine Associates Inc
• University Dialysis Center III LLC

• Clinical Medical Laboratory in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.