Regional Diagnostics, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

REGIONAL DIAGNOSTICS, LLC

Practice address

730 Som Center Rd
Suite 220
Mayfield Village, OH 44143-2350

Phone

(770) 720-3990

Fax

(440) 720-3989

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 Clark

Title

C.F.O.

Phone

(216) 464-8484

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669460820",
    "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": "216-464-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 SOM CENTER RD",
            "address_2": "SUITE 220",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441432350",
            "telephone_number": "770-720-3990",
            "fax_number": "440-720-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "216-464-8484",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2238831",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Radiology Clinic/Center in Mayfield Village, OH
• Providers in Mayfield Village, 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 22, 2020; 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.