| Organization Name: | REGIONAL DIAGNOSTICS, LLC |
| NPI Number: | 1427046739 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RON CLARK (DIRECTOR, MANAGED CARE) |
| Mailing Address: | 7777 S Harlem Ave Bridgeview |
| State: | IL US |
| Postal Code: | 604551318 |
| Phone Number: | 7084300044 |
| Fax Number: | 7734309694 |
| NPI Enumeration Date: | 10/11/2005 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |