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
730 SOM CENTER RD, SUITE 220, MAYFIELD VILLAGE, OH 44143-2350
(770) 720-3990
(440) 720-3989
Mailing address
4400 RENAISSANCE PKWY, WARRENSVILLE HTS, OH 44128-5763
(216) 464-8484
(216) 464-2444
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2238831
—
OH
Enumeration date
10/12/2005
Last updated
08/22/2020
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