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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
20455 LORAIN RD, CLEVELAND, OH 44126-3494
(440) 356-4800
(440) 356-4821
Mailing address
4400 RENAISSANCE PKWY, CLEVELAND, OH 44128-5763
(216) 464-8484
(216) 464-2444

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
1066IC
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1222IC
OH DEPT OF HEALTH
OH
05
2480480
OH
Enumeration date
10/11/2005
Last updated
08/28/2007
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