NPIMap

Organization Active NPI

Regional Diagnostics, LLC

  • Diagnostic Radiology Physician
  • Bedford HTS, OH
National Provider Identifier
1881695575
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
10621C Issued in OH
Legal business name
REGIONAL DIAGNOSTICS, LLC
Practice address
25580 Aurora Rd
Bedford HTS, OH 44146-2524
Phone
(440) 786-1900
Fax
(440) 786-1931
NPI assigned
Aug 3, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Christine E. Boettler
Title
Director of Managed Care
Phone
(216) 468-6012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 10621C OH Primary

Addresses

Primary practice location

25580 Aurora Rd
Bedford HTS, OH 44146-2524

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
2238760MedicaidOH

National Provider Directory

National Provider Directory

Locations

25580 Aurora Rd
Bedford Hts, OH 44146
Phone (440) 786-1900

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881695575",
    "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": "216-468-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25580 AURORA RD",
            "city": "BEDFORD HTS",
            "state": "OH",
            "postal_code": "441462524",
            "telephone_number": "440-786-1900",
            "fax_number": "440-786-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOETTLER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE",
        "authorized_official_telephone_number": "216-468-6012"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "10621C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2238760",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford HTS, OH

Sources for this page

  • 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.