03D2016024 CLIA NUMBER - SMI IMAGING LLC DBA SIMONMED IMAGING

Laboratory Demographics

  • CLIA Code: 03D2016024
  • Facility Name: SMI IMAGING LLC DBA SIMONMED IMAGING
  • Facility Address: 13657 W MCDOWELL RD STE 111
    GOODYEAR, AZ
    ZIP 85395
  • Facility Phone: 623 535-1166
  • Facility Type: Other - OUTPATIENT RADIOLOGY
  • Facility Type: Waiver
  • Lab Director: SIMON J. HOWARD
  • NPI Number: 1407178395
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 03D2016024
LAB Type Other - OUTPATIENT RADIOLOGY
Facility Name SMI IMAGING LLC DBA SIMONMED IMAGING
Street 13657 W MCDOWELL RD STE 111
City GOODYEAR
State AZ
ZIP 85395
Phone 623 535-1166
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Other - OUTPATIENT RADIOLOGY
Lab Director SIMON J. HOWARD

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