NPIMap

Organization Active NPI

Regional Diagnostics LLC

  • Radiology Clinic/Center
  • Lyndhurst, OH
National Provider Identifier
1487642856
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
0605IC Issued in OH
Legal business name
REGIONAL DIAGNOSTICS LLC
Practice address
5183 Mayfield Rd
Lyndhurst, OH 44124-2405
Phone
(440) 720-3000
Fax
(440) 720-3006
NPI assigned
Oct 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Authorized official

Name
Dr. Mark Zhuk, M.D.
Title
Managing Principle and Medical Dire
Phone
(216) 584-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 0605IC OH Primary

Addresses

Primary practice location

5183 Mayfield Rd
Lyndhurst, OH 44124-2405

Mailing address

4400 Renaissance Pkwy
Warrensville HTS, OH 44128
Phone (216) 464-8484

Other identifiers 2

IdentifierTypeStateIssuer
2238804MedicaidOH
1223ICOtherOHOH DEPT OF HEALTH

National Provider Directory

National Provider Directory

NPI 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": "1271980800000",
    "number": "1487642856",
    "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": "44128",
            "telephone_number": "216-464-8484",
            "fax_number": "216-464-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5183 MAYFIELD RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242405",
            "telephone_number": "440-720-3000",
            "fax_number": "440-720-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "ZHUK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGING PRINCIPLE AND MEDICAL DIRE",
        "authorized_official_telephone_number": "216-584-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "OH",
            "license": "0605IC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2238804",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH DEPT OF HEALTH",
            "identifier": "1223IC",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.