03D2114227 CLIA NUMBER - SMI IMAGING LLC DBA SIMONMED IMAGING - SUN LAKES

Laboratory Demographics

CLIA Number: 03D2114227

Facility Name: SMI IMAGING LLC DBA SIMONMED IMAGING - SUN LAKES

Facility Address:
10440 E RIGGS RD, STE 120
CHANDLER, AZ
ZIP 85248
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Facility Phone Number: (480) 883-6860

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1700325511

Taxonomy: 261QR0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2114227
LAB Type	OTHER
Facility Name	SMI IMAGING LLC DBA SIMONMED IMAGING - SUN LAKES
Street	10440 E RIGGS RD, STE 120
City	CHANDLER
State	AZ
ZIP	85248
Phone	(480) 883-6860

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This page was last updated on: 5/11/2023