Organization
REGIONAL DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE E. BOETTLER (DIRECTOR OF MANAGED CARE)
(216) 468-6012
Entity
Organization
Contact information
Practice address
25580 AURORA RD, BEDFORD HTS, OH 44146-2524
(440) 786-1900
(440) 786-1931
Mailing address
4400 RENAISSANCE PKWY., WARRENSVILLE HTS., OH 44128
(216) 464-8484
(216) 468-6021
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
10621C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2238760
—
OH
Enumeration date
08/03/2005
Last updated
08/22/2020
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