03D2114224 CLIA NUMBER - SMI IMAGING LLC DBA SIMONMED IMAGING - APACHE JUNCTION

Laboratory Demographics

  • CLIA Code: 03D2114224
  • Facility Name: SMI IMAGING LLC DBA SIMONMED IMAGING - APACHE JUNCTION
  • Facility Address: 2080 W SOUTHERN AVE, BLDG C
    APACHE JUNCTION, AZ
    ZIP 85120
  • Facility Phone: 480 747-5960
  • Facility Type: Other - OUTPATIENT IMAGING
  • Facility Type: Waiver
  • Lab Director: HOWARD J. SIMON
  • NPI Number: 1376075077
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 03D2114224
LAB Type Other - OUTPATIENT IMAGING
Facility Name SMI IMAGING LLC DBA SIMONMED IMAGING - APACHE JUNCTION
Street 2080 W SOUTHERN AVE, BLDG C
City APACHE JUNCTION
State AZ
ZIP 85120
Phone 480 747-5960
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2024
Certificate Expiration Date 6/8/2026
Facility Type Other - OUTPATIENT IMAGING
Lab Director HOWARD J. SIMON

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This page was last updated on: 6/4/2025