03D2054864 CLIA NUMBER - SMI IMAGING LLC

Laboratory Demographics

  • CLIA Code: 03D2054864
  • Facility Name: SMI IMAGING LLC
  • Facility Address: 5410 W THUNDERBIRD RD SUITE 100
    GLENDALE, AZ
    ZIP 85306
  • Facility Phone: 602 682-5000
  • Facility Type: Other - MEDICAL RADIOLOGY
  • Facility Type: Waiver
  • Lab Director: HOWARD J. SIMON
  • NPI Number: 1437755964
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 03D2054864
LAB Type Other - MEDICAL RADIOLOGY
Facility Name SMI IMAGING LLC
Street 5410 W THUNDERBIRD RD SUITE 100
City GLENDALE
State AZ
ZIP 85306
Phone 602 682-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Other - MEDICAL RADIOLOGY
Lab Director HOWARD J. SIMON

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