SPECTRUM DIAGNOSTIC IMAGING OF OHIO LLC (NPI# 1780815209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780815209 |
| Entity Type | Organization |
| Organization Name | SPECTRUM DIAGNOSTIC IMAGING OF OHIO LLC |
| Practice Address |
8401 Mentor Ave Mentor OH 44060-5842 |
| Mailing Address |
4400 Rockside Rd Independence OH 44131-2168 |
| Practice Telephone | 4402051730 |
| Practice Fax Number | 4402051736 |
| Mailing Telephone | 2165842900 |
| Mailing Fax Number | 2165842901 |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2009-10-06 |
| Authorized Official Name | DR. MARK ZHUK (CEO) |
| Authorized Official Telephone | 2165842900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639300015 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 7575 Northcliff Ave, Suite 105, Brooklyn, OH 44144-3267 | 2009-08-03 |
| 1023249547 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 150 Sw 12th Ave, #102, Pompano Beach, FL 33069-3298 | 2009-07-31 |
| 1972734481 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 3609 Park East Dr, Suite 101, Beachwood, OH 44122-4331 | 2009-07-31 |
| 1306077821 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 34600 Chardon Rd, Willoughby Hills, OH 44094-8480 | 2009-07-31 |
| 1184855694 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 20455 Lorain Rd, Cleveland, OH 44126-3494 | 2009-07-31 |
| 1437380946 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 4760 Richmond Rd, Cleveland, OH 44128-5978 | 2009-07-31 |
| 1104057611 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 5183 Mayfield Rd, Lyndhurst, OH 44124-2405 | 2009-07-31 |
| 1902037419 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 6900 Ridge Rd, Parma, OH 44129-5650 | 2009-07-31 |
| 1174754683 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 19250 Bagley Rd, Cleveland, OH 44130-3347 | 2009-07-31 |
| Street Address |
8401 MENTOR AVE |
| City | MENTOR |
| State | OH |
| Zip Code | 44060-5842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497740617 | Lake County Pain & Diagnostic | Clinic/Center | 8401 Mentor Ave, Ste A, Mentor, OH 44060-5842 | 2005-09-14 |
| 1003830522 | Regional Diagnostics LLC | Clinic/Center | 8401 Mentor Ave, Mentor, OH 44060-5842 | 2006-07-27 |
| 1396708848 | Geauga Rehabilitation Engineering, Inc. | Prosthetic/Orthotic Supplier | 8401 Mentor Ave, Suite C, Mentor, OH 44060-5842 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364143 | Pamela Adams | Technician | 6079 Center St, Mentor, OH 44060 | 2019-09-10 |
| 1255800298 | Brittani Joy Lumpkin | Community/Behavioral Health | 9220 Mentor Road., Mentor, OH 44060 | 2018-11-20 |
| 1043726763 | Sharon Bollinger | Counselor | 7232 Tyler Blvd., Mentor, OH 44060 | 2017-12-18 |
| 1255863635 | Mentor Health and Rehabilitation Center, Inc. | Skilled Nursing Facility | 8151 Norton Pkwy, Mentor, OH 44060 | 2017-04-03 |
| 1144695933 | Kirsten Lorek | Specialist/Technologist | 8400 Paddock Ct, Mentor, OH 44060 | 2015-12-06 |
| 1346638848 | Darlean Williams | Licensed Practical Nurse | 6477 Center Street, Mentor High School, Mentor, OH 44060 | 2015-01-06 |
| 1316357130 | Kathryn Arnette Romo | Speech-Language Pathologist | 6451 Center Street, Mentor Exempted Village Schools, Mentor, OH 44060 | 2014-05-01 |
| 1730599705 | Marianne. P. Kostiha | Registered Nurse | 6451 Center St., Mentor Public Schools, Mentor, OH 44060 | 2014-04-30 |
| 1558788190 | Jeanne Marie Markusic | Physical Therapist | 7687 Ellington Pl, Mentor, OH 44060 | 2014-03-20 |
| 1477979391 | Center for Advanced Vein Care LLC | Emergency Medicine | 7200 Mentor Avenue, Mentor, OH 44060 | 2014-03-17 |
| Find all providers in zip 44060 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326645813 | Lumina Imaging | Radiology | 8401 Mentor Ave Ste B, Mentor, OH 44060-5843 | 2020-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700490943 | Katrina Overbey | Radiology | 4604 Northridge Dr, Batavia, OH 45103-1329 | 2020-09-04 |
| 1235752981 | Infinity Teleradiology LLC | Radiology | 17365 Lookout Dr, Chagrin Falls, OH 44023-2135 | 2020-05-28 |
| 1811481120 | Northern Ohio Medical Specialists LLC | Radiology | 2800 Hayes Ave Bldg C130, Sandusky, OH 44870-7248 | 2018-06-20 |
| 1922528595 | Advantage Imaging, LLC | Radiology | 1120 Polaris Pkwy Ste 105, Columbus, OH 43240-4042 | 2017-06-23 |
| 1568845279 | Rod Momenian | Radiology | 9500 Euclid Ave # Oh44195, Cleveland, OH 44195-1716 | 2015-06-30 |
| 1356756159 | Jerald Eckman | Radiology | 8645 Mallard Cir, Plain City, OH 43064-6004 | 2014-07-01 |
| 1770995854 | Proscan Womens Imaging At Redbank LLC | Radiology | 11594 Springfield Pike, Suite 26, Cincinnati, OH 45246-3527 | 2014-05-23 |
| 1104248467 | Mobile X Ray Express, LLC | Radiology | 1020 Township Road 145, Ironton, OH 45638-8593 | 2014-01-06 |
| 1356762074 | Edwin Robert Payne | Radiology | 465 Overlook Dr Ne, Lancaster, OH 43130-1918 | 2013-12-23 |
| 1629403431 | Vijay Jyoti Pandya | Radiology | 5475 Rings Rd Ste 300, Dublin, OH 43017-7537 | 2013-09-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.