NPIMap

Organization Active NPI

Diaspora Radiology, SC

  • Radiology Clinic/Center
  • Middleton, WI
National Provider Identifier
1043937899
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
DIASPORA RADIOLOGY, SC
Practice address
8309 Murphy Dr
Middleton, WI 53562-2565
Phone
(847) 878-9109
NPI assigned
Oct 24, 2022
Organization subpart
Yes
Parent organization
DIASPORA RADIOLOGY, SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maria Corona
Title
Senior Director, Operations
Phone
(847) 878-9109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

8309 Murphy Dr
Middleton, WI 53562-2565

Mailing address

1914 Pine Dr
McHenry, IL 60051-2620
Phone (847) 878-9109

Other names 1

  • Smart Scan Medical Imaging Madison Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Diaspora Radiology SC4 organizations share this tax ID, including this one
Part of
Diaspora Radiology SC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8309 Murphy Dr
Middleton, WI 53562
Phone (847) 878-9109

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1043937899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 PINE DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600512620",
            "telephone_number": "847-878-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8309 MURPHY DR",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535622565",
            "telephone_number": "847-878-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIASPORA RADIOLOGY, SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIASPORA RADIOLOGY, SC",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-23",
        "status": "A",
        "authorized_official_last_name": "CORONA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "SENIOR DIRECTOR, OPERATIONS",
        "authorized_official_telephone_number": "847-878-9109"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smart Scan Medical Imaging Madison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.