03D2115537 CLIA NUMBER - SMI IMAGING LLC DBA SIMONMED IMAGING - ST MARY'S

Laboratory Demographics

CLIA Number: 03D2115537

Facility Name: SMI IMAGING LLC DBA SIMONMED IMAGING - ST MARY'S

Facility Address:
1313 W ST MARY'S RD
TUCSON, AZ
ZIP 85745
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Facility Phone Number: (520) 449-8115

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1417403304

Taxonomy: 261QR0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2115537
LAB Type	OTHER
Facility Name	SMI IMAGING LLC DBA SIMONMED IMAGING - ST MARY'S
Street	1313 W ST MARY'S RD
City	TUCSON
State	AZ
ZIP	85745
Phone	(520) 449-8115

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