Organization
REGIONAL DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON LEE CLARK (PRESIDENT AND COO)
(216) 464-8484
Entity
Organization
Contact information
Practice address
19250 E. BAGLEY RD., MIDDLEBURG HTS., OH 44130-3314
(440) 260-9970
(440) 260-9980
Mailing address
4400 RENAISSANCE PKWY, WARRENSVILLE HTS., OH 44128-5763
(216) 464-8484
(216) 468-6021
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
1116IC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225IC
OH DEPT HEALTH
OH
05
—
2528956
—
OH
Enumeration date
10/12/2005
Last updated
08/28/2007
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