Organization Active NPI

Regional Diagnostics LLC

  • Radiology Clinic/Center
  • Brooklyn, OH
National Provider Identifier
1578551941
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
1069IC Issued in OH
Legal business name
REGIONAL DIAGNOSTICS LLC
Practice address
7575 Northcliff Ave
Brooklyn, OH 44144-3267
Phone
(216) 398-5551
Fax
(216) 398-5589
NPI assigned
Oct 11, 2005
Last updated
Apr 23, 2010By the provider in NPPES
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 1069IC OH Primary

Addresses

Primary practice location

7575 Northcliff Ave
Brooklyn, OH 44144-3267

Mailing address

4400 Renaissance Pkwy
Cleveland, OH 44128-5763
Phone (216) 464-8484

Other identifiers 2

IdentifierTypeStateIssuer
2238742MedicaidOH
1221ICOtherOHOH DEPT 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": "1578551941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 RENAISSANCE PKWY",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441285763",
            "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": "7575 NORTHCLIFF AVE",
            "city": "BROOKLYN",
            "state": "OH",
            "postal_code": "441443267",
            "telephone_number": "216-398-5551",
            "fax_number": "216-398-5589"
        }
    ],
    "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": "1069IC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2238742",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH DEPT HEALTH",
            "identifier": "1221IC",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, 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.