Diaspora Radiology, SC
Diaspora Radiology, SC is a Diagnostic Radiology Physician in Onalaska, Wisconsin. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
111 Sand Lake RdOnalaska, WI 54650-2760
Phone: (847) 878-9109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X |
|---|
Record details
| NPI number | 1790402543 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Diaspora Radiology, SC |
| Authorized official | Maria Corona — Senior Director, Operations · (847) 878-9109 |
| Other names | Smart Scan Medical Imaging, Llc |
| NPI enumerated | October 24, 2022 |
| Last updated in NPPES | October 24, 2022 |
| Certification date | October 23, 2022 |
| Mailing address | 1914 Pine Dr, McHenry, IL 60051-2620 |