03D2125471 CLIA NUMBER - Smi Imaging LLC Dba Simonmed Imaging

Laboratory Demographics

CLIA Number: 03D2125471

Facility Name: Smi Imaging LLC Dba Simonmed Imaging

Facility Address:
790 Gail Gardner Way
Prescott, AZ
ZIP 86305
Get Directions

Facility Phone Number: (928) 443-6591

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1124624093

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	03D2125471
LAB Type	OTHER
Facility Name	Smi Imaging LLC Dba Simonmed Imaging
Street	790 Gail Gardner Way
City	Prescott
State	AZ
ZIP	86305
Phone	(928) 443-6591

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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