Organization Active NPI

Smart Scan Medical Imaging - Eau Claire, LLC

  • Radiology Clinic/Center
  • Eau Claire, WI
National Provider Identifier
1710723648
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
SMART SCAN MEDICAL IMAGING - EAU CLAIRE, LLC
Practice address
3004 Golf Rd Ste 101
Eau Claire, WI 54701-8794
Phone
(715) 895-6194
NPI assigned
Jul 1, 2024
Last updated
Jul 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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 NU Primary

Addresses

Primary practice location

3004 Golf Rd Ste 101
Eau Claire, WI 54701-8794

Mailing address

3004 Golf Rd Ste 101
Eau Claire, WI 54701-8794

National Provider Directory

National Provider Directory

Locations

3004 Golf Rd
Ste 101A
Eau Claire, WI 54701
Phone (847) 878-9109

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1710723648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 GOLF RD STE 101",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547018794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 GOLF RD STE 101",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547018794",
            "telephone_number": "715-895-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART SCAN MEDICAL IMAGING - EAU CLAIRE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.