03D1098158 CLIA NUMBER - SMI IMAGING LLC DBA SIMONMED IMAGING- WILMOT

Laboratory Demographics

CLIA Number: 03D1098158

Facility Name: SMI IMAGING LLC DBA SIMONMED IMAGING- WILMOT

Facility Address:
310 N WILMOT RD, STE 302
TUCSON, AZ
ZIP 85711
Get Directions

Facility Phone Number: 520 449-8001

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1285991943

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	03D1098158
LAB Type	Other
Facility Name	SMI IMAGING LLC DBA SIMONMED IMAGING- WILMOT
Street	310 N WILMOT RD, STE 302
City	TUCSON
State	AZ
ZIP	85711
Phone	520 449-8001
CertificateType	4
CertificateEffectiveDate	11/19/2022
CertificateExpirationDate	11/18/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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