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NPI Code Detail

MEDICARE: REGIONAL DIAGNOSTICS LLC

MEDICARE: REGIONAL DIAGNOSTICS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0200XRadiology Clinic/Center1069ICOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11221ICOTHEROHOH DEPT HEALTH
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578551941
Entity Type Code : Organization
Provider Name (Legal Business Name) : REGIONAL DIAGNOSTICS LLC
Provider Business Mailing Address
First Line : 4400 RENAISSANCE PKWY
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-5763
Country : US
Telephone Number : 216-464-8484
Fax Number : 216-464-2444
Provider Business Practice Location Address
First Line : 7575 NORTHCLIFF AVE
Second Line :
City : BROOKLYN
State : OH
Zip : 44144-3267
Country : US
Telephone Number : 216-398-5551
Fax Number : 216-398-5589
Authorized Official
Title or Position : MANAGING PRINCIPLE AND MEDICAL DIRE
Name : DR. MARK ZHUK
Credential : M.D.
Telephone Number : 216-584-2900
Provider Enumeration Date : 10/11/2005
Last Update Date : 04/23/2010

Similar Medicare Providers

1750373650 — LAWRENCE A DETWILER M.D.
Practice Location Address:
7575 NORTHCLIFF AVE , SUITE 102
BROOKLYN, OH
44144-3267
Practice Phone: 216-398-8196
Practice Fax: 216-398-8192
1770575458 — DR. MICHAEL STEVEN SILVERMAN M.D.
Practice Location Address:
7575 NORTHCLIFF AVE , SUITE 400
BROOKLYN, OH
44144-3267
Practice Phone: 216-749-8276
Practice Fax: 216-749-8240
1528053089 — RUBEN A MIGUEL M.D.
Practice Location Address:
7575 NORTHCLIFF AVE , SUITE 102
BROOKLYN, OH
44144-3267
Practice Phone: 216-398-8196
Practice Fax: 216-398-8192
1083605927 — DR. PAMELA KAY HILTON MD
Practice Location Address:
7575 NORTHCLIFF AVE , SUITE 307
BROOKLYN, OH
44144-3267
Practice Phone: 216-749-8277
Practice Fax: 216-749-8273
1417933755 — TERENCE LEIGH WITHAM MD
Practice Location Address:
7575 NORTHCLIFF AVE , SUITE 201
BROOKLYN, OH
44144-3267
Practice Phone: 216-661-4577
Practice Fax: 216-661-4784
1780657445 — DANIEL LANG MEGES M.D.
Practice Location Address:
7575 NORTHCLIFF AVE , SUITE 200
BROOKLYN, OH
44144-3267
Practice Phone: 216-749-8279
Practice Fax: 216-749-8210

Directions to “REGIONAL DIAGNOSTICS LLC ” Practice Location

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