Expert Diagnostic Services

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

EXPERT DIAGNOSTIC SERVICES

Practice address

5001 Mayfield Rd Ste 317
Lyndhurst, OH 44124-2608

Phone

(216) 691-0700

NPI assigned

Nov 5, 2008

Organization subpart

No

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

Authorized official

Name

Ludmila Revinov

Title

President

Phone

(216) 691-0700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1376797274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 MAYFIELD RD STE 317",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242608",
            "telephone_number": "216-691-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 MAYFIELD RD STE 317",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242608",
            "telephone_number": "216-691-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERT DIAGNOSTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "REVINOV",
        "authorized_official_first_name": "LUDMILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-691-0700"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Contractor in Lyndhurst, OH
• Providers in Lyndhurst, OH by specialty
• Contractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.