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03D2114207 CLIA NUMBER - SMI IMAGING LLC DBA SIMONMED IMAGING - PARADISE VALLEY

Laboratory Demographics

CLIA Number: 03D2114207

Facility Name: SMI IMAGING LLC DBA SIMONMED IMAGING - PARADISE VALLEY

Facility Address:
4219 E BELL RD
PHOENIX, AZ
ZIP 85032
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Facility Phone Number: 480 584-5525

Facility Type: Other - OUTPATIENT IMAGING

Certificate Type: Waiver
NPI Number: 1649876806

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 03D2114207
LAB Type Other - OUTPATIENT IMAGING
Facility Name SMI IMAGING LLC DBA SIMONMED IMAGING - PARADISE VALLEY
Street 4219 E BELL RD
City PHOENIX
State AZ
ZIP 85032
Phone 480 584-5525
CertificateType 4
CertificateEffectiveDate 6/8/2022
CertificateExpirationDate 6/7/2024
FacilityType Waiver

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