Active NPI
Regional Diagnostics, LLC
- Radiology Clinic/Center
- Delray Beach, FL
National Provider Identifier
1114915436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- License
- HCCR3173
- Legal business name
- REGIONAL DIAGNOSTICS, LLC
- Practice address
- 101 NW 1St Ave
Delray Beach, FL 33444-2611 - Phone
- (561) 272-4770
- Fax
- (561) 272-0811
- NPI assigned
- Oct 11, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ron Clark
- Title
- C.F.O.
- Phone
- (216) 464-8484
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | HCCR3173 | FL | Primary |
Addresses
Primary practice location
101 NW 1St Ave
Delray Beach, FL 33444-2611
Mailing address
4400 Renaissance Pkwy
Warrensville HTS, OH 44128-5763
Phone (216) 464-8484
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114915436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 RENAISSANCE PKWY",
"city": "WARRENSVILLE HTS",
"state": "OH",
"postal_code": "441285763",
"telephone_number": "216-464-8484",
"fax_number": "216-468-6021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 NW 1ST AVE",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334442611",
"telephone_number": "561-272-4770",
"fax_number": "561-272-0811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGIONAL DIAGNOSTICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "RON",
"authorized_official_title_or_position": "C.F.O.",
"authorized_official_telephone_number": "216-464-8484",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "FL",
"license": "HCCR3173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- 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.