Organization
REGIONAL DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ZHUK M.D. (MANAGING PRINCIPLE AND MEDICAL DIRE)
(216) 584-2900
Entity
Organization
Contact information
Practice address
5183 MAYFIELD RD, LYNDHURST, OH 44124-2405
(440) 720-3000
(440) 720-3006
Mailing address
4400 RENAISSANCE PKWY, WARRENSVILLE HTS, OH 44128
(216) 464-8484
(216) 464-2444
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
0605IC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1223IC
OH DEPT OF HEALTH
OH
05
—
2238804
—
OH
Enumeration date
10/11/2005
Last updated
04/23/2010
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