SMI IMAGING LLC NPI 1780817940

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 1780817940. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Simonmed Imaging - Fiesta.

The provider's business location address is:

1457 W SOUTHERN AVE STE 26
MESA, AZ
ZIP 85202-862
Phone: (480) 306-6900
Fax: (480) 306-6910

The provider's authorized official is Howard J Simon .
The authorized official title is President and has the following contact phone number (480) 264-2400.

The CLIA number assigned to this NPI record is 03D1077644 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/3/2009 and was last updated on 5/7/2010.

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:

Other Identifiers

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