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
6900 RIDGE RD, PARMA, OH 44129-5650
(440) 884-6600
(440) 884-6689
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
1007IC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1226IC
OH DEPT HEALTH
OH
05
—
2480515
—
OH
Enumeration date
10/11/2005
Last updated
08/28/2007
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