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
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2019
Last updated
07/08/2024
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