# DIASPORA RADIOLOGY, SC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DIASPORA RADIOLOGY, SC
- **Other names:** Diaspora Radiology dba Smart Scan Medical Imaging
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306583174
- **Legal business name:** DIASPORA RADIOLOGY, SC
- **Authorized official:** MARIA CORONA (ADMINISTRATIVE DIRECTOR)
- **Authorized official phone:** (855) 694-3300

## Contact information

- **Practice address:** 3004 GOLF RD STE 101, EAU CLAIRE, WI 54701-8794
- **Practice address phone:** (855) 694-3300
- **Mailing address:** PO BOX 772555, DETROIT, MI 48277-2620
- **Mailing address phone:** (314) 238-5260
- **Mailing address fax:** (314) 821-1833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/13/2022
- **Last updated:** 07/08/2024