DIASPORA RADIOLOGY SC NPI 1730652017

NPI Information

NPI: 1730652017
Provider Name: DIASPORA RADIOLOGY, SC
Classification: Clinic/Center - 261QM1200X
Specialization: Magnetic Resonance Imaging (MRI)
Entity Type: Organization
Doing Business As: SMART SCAN MEDICAL IMAGING, SC
Address: 2602 MULBERRY LN
NORTHBROOK, IL
ZIP 60062
Phone: (855) 694-3300

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NPI Details

DIASPORA RADIOLOGY, SC is a magnetic resonance imaging (mri) clinic center in Northbrook, IL. DIASPORA RADIOLOGY, SC NPI is 1730652017. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Smart Scan Medical Imaging, Sc.

The provider's business location address is:

2602 MULBERRY LN
NORTHBROOK, IL
ZIP 60062-937
Phone: (855) 694-3300

The provider's authorized official is Maria Corona .
The authorized official title is Senior Director Operations and has the following contact phone number (855) 694-3300.

The enumeration date for this NPI number is 1/9/2019 and was last updated on 7/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			No
2	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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