03D2092111 CLIA NUMBER - SMI IMAGING LLC DBA SIMONMED IMAGING - THOMPSON PEAK

Laboratory Demographics

  • CLIA Code: 03D2092111
  • Facility Name: SMI IMAGING LLC DBA SIMONMED IMAGING - THOMPSON PEAK
  • Facility Address: 7304 E DEER VALLEY RD, STE 105
    SCOTTSDALE, AZ
    ZIP 85255
  • Facility Phone: 480 264-2400
  • Facility Type: Other - O/PATIENT MEDICAL IMAGING
  • Facility Type: Waiver
  • Lab Director: HOWARD J. SIMON
  • NPI Number: 1780823997
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 03D2092111
LAB Type Other - O/PATIENT MEDICAL IMAGING
Facility Name SMI IMAGING LLC DBA SIMONMED IMAGING - THOMPSON PEAK
Street 7304 E DEER VALLEY RD, STE 105
City SCOTTSDALE
State AZ
ZIP 85255
Phone 480 264-2400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2025
Certificate Expiration Date 2/25/2027
Facility Type Other - O/PATIENT MEDICAL IMAGING
Lab Director HOWARD J. SIMON

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