Active NPI
Smart Scan Medical Imaging - Eau Claire, LLC
- Radiology Clinic/Center
- Eau Claire, WI
National Provider Identifier
1710723648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Diagnostic Radiology Physician
- Grayslake, IL
- NPI 1376520783
-
- Diagnostic Radiology Physician
- Northbrook, IL
- NPI 1114378007
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1598144644
-
- Diagnostic Radiology Physician
- Gurnee, IL
- NPI 1851342505
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.