Regional Diagnostics, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

REGIONAL DIAGNOSTICS, LLC

Practice address

16236 Prince Dr
South Holland, IL 60473-3233

Phone

(708) 333-1400

Fax

(708) 333-0110

NPI assigned

Oct 11, 2005

Last updated

Aug 22, 2020By 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

Mr. Ron Clark

Title

Director, Managed Care

Phone

(216) 464-8484

Specialties & licenses 1

Addresses

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": "1144218462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 RENAISSANCE PKWY",
            "city": "WARRENSVILLE HEIGHTS",
            "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": "16236 PRINCE DR",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604733233",
            "telephone_number": "708-333-1400",
            "fax_number": "708-333-0110"
        }
    ],
    "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": "DIRECTOR, MANAGED CARE",
        "authorized_official_telephone_number": "216-464-8484",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiology Clinic/Center in South Holland, IL
• Providers in South Holland, IL by specialty
• Radiology Clinic/Center in Illinois

• 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.