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
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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

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