SMI IMAGING LLC NPI 1679179154

NPI Information

NPI: 1679179154
Provider Name: SMI IMAGING LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 03D2162808

Address:
1325 N LITCHFIELD RD STE 115
GOODYEAR, AZ
ZIP 85395
Phone: (602) 584-4944
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SMI IMAGING LLC is a diagnostic radiology radiology in Goodyear, 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 1679179154. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1325 N LITCHFIELD RD STE 115
GOODYEAR, AZ
ZIP 85395-228
Phone: (602) 584-4944

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 03D2162808 - other - op medical imaging with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/9/2020 and was last updated on 12/9/2020.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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