SMI IMAGING LLC NPI 1104422039

NPI Information

SMI IMAGING LLC is a diagnostic radiology radiology in Mesa, AZ. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SMI IMAGING LLC NPI is 1104422039. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1345 E MCKELLIPS RD STE 106
MESA, AZ
ZIP 85203-721
Phone: (480) 265-8101

The provider's authorized official is Howard John Simon .
The authorized official title is Ceo and has the following contact phone number (480) 478-6545.

The CLIA number assigned to this NPI record is 03D2154087 - other - outpatient imaging with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2020 and was last updated on 12/7/2020.

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:

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