Organization
REGIONAL DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON CLARK (C.F.O.)
(216) 464-8484
Entity
Organization
Contact information
Practice address
9710 MENTOR AVE, MENTOR, OH 44060-4555
(440) 350-0100
(440) 350-0295
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
0221IC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2238877
—
OH
Enumeration date
10/11/2005
Last updated
08/22/2020
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