Organization
DIASPORA RADIOLOGY, SC
Active
Parent organization
DIASPORA RADIOLOGY, SC
Other names
Diaspora Radiology dba Smart Scan Medical Imaging
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIASPORA RADIOLOGY, SC
Authorized official
MARIA CORONA (ADMINISTRATIVE DIRECTOR)
(855) 694-3300
Entity
Organization
Contact information
Practice address
3004 GOLF RD STE 101, EAU CLAIRE, WI 54701-8794
(855) 694-3300
Mailing address
PO BOX 772555, DETROIT, MI 48277-2620
(314) 238-5260
(314) 821-1833
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
05/13/2022
Last updated
07/08/2024
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