03D2114208 CLIA NUMBER - Smi Imaging LLC Dba Simonmed Imaging -

Laboratory Demographics

CLIA Number: 03D2114208

Facility Name: Smi Imaging LLC Dba Simonmed Imaging -

Facility Address:
2502 E Camelback Rd, #160
Phoenix, AZ
ZIP 85016
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Facility Phone Number: (480) 428-5980

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1124552120

Taxonomy: 261QR0200X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 03D2114208
LAB Type OTHER
Facility Name Smi Imaging LLC Dba Simonmed Imaging -
Street 2502 E Camelback Rd, #160
City Phoenix
State AZ
ZIP 85016
Phone (480) 428-5980

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This page was last updated on: 4/7/2021