Smart Scan Medical Imaging - Wausau, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

SMART SCAN MEDICAL IMAGING - WAUSAU, LLC

Practice address

2106 Schofield Ave Ste 7
Weston, WI 54476-2412

Phone

(715) 318-6684

NPI assigned

Jul 1, 2024

Last updated

Jul 1, 2024By the provider in NPPES

Organization subpart

No

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

Addresses

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": "1821834789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 SCHOFIELD AVE STE 7",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544762412",
            "telephone_number": "715-318-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 SCHOFIELD AVE STE 7",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544762412",
            "telephone_number": "715-318-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART SCAN MEDICAL IMAGING - WAUSAU, 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": []
}

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• Radiology Clinic/Center in Weston, WI
• Providers in Weston, WI by specialty
• Radiology Clinic/Center in Wisconsin

• 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.