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Organization
DIASPORA RADIOLOGY, SC
Active
Organization
DIASPORA RADIOLOGY, SC
Active
Other names
Smart Scan Medical Imaging, SC
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA CORONA (SENIOR DIRECTOR OPERATIONS)
(855) 694-3300
Entity
Organization
Contact information
Practice address
2602 MULBERRY LN, NORTHBROOK, IL 60062-5937
(855) 694-3300
Mailing address
2602 MULBERRY LN, NORTHBROOK, IL 60062-5937
(314) 238-5260
(314) 821-1833
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/09/2019
Last updated
07/08/2024
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