03D1077643 CLIA NUMBER - SMI IMAGING LLC DBA SIMONMED IMAGING - NORTH GILBERT SUPERSTITION

Laboratory Demographics

  • CLIA Code: 03D1077643
  • Facility Name: SMI IMAGING LLC DBA SIMONMED IMAGING - NORTH GILBERT SUPERSTITION
  • Facility Address: 875 N GREENFIELD ROAD SUITE 107
    GILBERT, AZ
    ZIP 85234
  • Facility Phone: 480 813-8700
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: HOWARD J. SIMON
  • NPI Number: 1730312901
  • Taxonomy: 2085R0202X - Radiology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D1077643
LAB Type Other
Facility Name SMI IMAGING LLC DBA SIMONMED IMAGING - NORTH GILBERT SUPERSTITION
Street 875 N GREENFIELD ROAD SUITE 107
City GILBERT
State AZ
ZIP 85234
Phone 480 813-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2024
Certificate Expiration Date 6/8/2026
Facility Type Other
Lab Director HOWARD J. SIMON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025