03D2025888 CLIA NUMBER - SMI IMAGING LLC DBA SIMONMED IMAGING - ORANGE GROVE

Laboratory Demographics

  • CLIA Code: 03D2025888
  • Facility Name: SMI IMAGING LLC DBA SIMONMED IMAGING - ORANGE GROVE
  • Facility Address: 1845 W ORANGE GROVE RD SUITE 103
    TUCSON, AZ
    ZIP 85704
  • Facility Phone: 520 230-4900
  • Facility Type: Other - OUTPATIENT RADIOLOGY
  • Facility Type: Waiver
  • Lab Director: HOWARD J. SIMON
  • NPI Number: 1083971741
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 03D2025888
LAB Type Other - OUTPATIENT RADIOLOGY
Facility Name SMI IMAGING LLC DBA SIMONMED IMAGING - ORANGE GROVE
Street 1845 W ORANGE GROVE RD SUITE 103
City TUCSON
State AZ
ZIP 85704
Phone 520 230-4900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Other - OUTPATIENT RADIOLOGY
Lab Director HOWARD J. SIMON

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