03D1078567 CLIA NUMBER - SMI IMAGING LLC DBA SIMONMED IMAGING

Laboratory Demographics

CLIA Number: 03D1078567

Facility Name: SMI IMAGING LLC DBA SIMONMED IMAGING

Facility Address:
1331 N 7TH STREET STE 150
PHOENIX, AZ
ZIP 85006
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Facility Phone Number: 602 320-3344

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1922359637

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIA Record

Field Name	Field Value
CLIA Number	03D1078567
LAB Type	Other
Facility Name	SMI IMAGING LLC DBA SIMONMED IMAGING
Street	1331 N 7TH STREET STE 150
City	PHOENIX
State	AZ
ZIP	85006
Phone	602 320-3344
CertificateType	4
CertificateEffectiveDate	4/18/2024
CertificateExpirationDate	4/17/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024