Healthcare Provider Details

I. General information

NPI: 1891700514
Provider Name (Legal Business Name): WOMENS DIAGNOSTIC CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24325 LORAIN RD
NORTH OLMSTED OH
44070-2166
US

IV. Provider business mailing address

24325 LORAIN RD
NORTH OLMSTED OH
44070-2166
US

V. Phone/Fax

Practice location:
  • Phone: 440-779-9633
  • Fax: 440-779-9636
Mailing address:
  • Phone: 440-779-9633
  • Fax: 440-779-9636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID R ZAVAGNO
Title or Position: PRESIDENT
Credential:
Phone: 440-349-3210