Organization
DIASPORA RADIOLOGY, SC
Active
Parent organization
DIASPORA RADIOLOGY, SC
Other names
Smart Scan Medical Imaging, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIASPORA RADIOLOGY, SC
Authorized official
MARIA CORONA (SENIOR DIRECTOR, OPERATIONS)
(847) 878-9109
Entity
Organization
Contact information
Practice address
111 SAND LAKE RD, ONALASKA, WI 54650-2760
(847) 878-9109
Mailing address
1914 PINE DR, MCHENRY, IL 60051-2620
(847) 878-9109
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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