NPIMap

Organization Active NPI

Regional Diagnostics LLC

  • Radiology Clinic/Center
  • Steubenville, OH
National Provider Identifier
1619965910
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
1063IC Issued in OH
Legal business name
REGIONAL DIAGNOSTICS LLC
Practice address
4220 Sunset Blvd
Steubenville, OH 43952-3618
Phone
(740) 266-3131
Fax
(740) 266-3188
NPI assigned
Oct 11, 2005
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 1063IC OH Primary

Addresses

Primary practice location

4220 Sunset Blvd
Steubenville, OH 43952-3618

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
1227ICOtherOHOH DEPT HEALTH
2162225MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Regional Diagnostics LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

Regional Diagnostic Llc
Cincinnati, OH 45263

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": "1208649600000",
    "number": "1619965910",
    "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": "4220 SUNSET BLVD",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439523618",
            "telephone_number": "740-266-3131",
            "fax_number": "740-266-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2008-04-20",
        "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": "1063IC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH DEPT HEALTH",
            "identifier": "1227IC",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2162225",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.