Regional Diagnostics LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

1116IC Issued in OH

Legal business name

REGIONAL DIAGNOSTICS LLC

Practice address

19250 E. Bagley Rd.
Middleburg HTS., OH 44130-3314

Phone

(440) 260-9970

Fax

(440) 260-9980

NPI assigned

Oct 12, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Ron Lee Clark

Title

President and Coo

Phone

(216) 464-8484

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1225026461",
    "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": "19250 E. BAGLEY RD.",
            "city": "MIDDLEBURG HTS.",
            "state": "OH",
            "postal_code": "441303314",
            "telephone_number": "440-260-9970",
            "fax_number": "440-260-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT AND COO",
        "authorized_official_telephone_number": "216-464-8484",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "OH",
            "license": "1116IC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH DEPT HEALTH",
            "identifier": "1225IC",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2528956",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• OB GYN Associates LLC
• Vimla D Pania, MD
• Kevin John Powers, PT
• Steve Pritchard, LAT, ATC
• Leah M Rearick, LMT
• Nathan Rogers, PT
• Molly Anne Ruprecht, LMT
• Laura Lee Sadler, AU.D
• Stephen Frederick Sasala, OD
• Theresa Ann Saunders, PT

• Radiology Clinic/Center in Middleburg HTS, OH
• Providers in Middleburg HTS, OH by specialty
• Radiology Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.