03D2132727 CLIA NUMBER - SMI IMAGING LLC DBA SIMONMED IMAGING - ANTHEM

Laboratory Demographics

  • CLIA Code: 03D2132727
  • Facility Name: SMI IMAGING LLC DBA SIMONMED IMAGING - ANTHEM
  • Facility Address: 3618 W ANTHEM WAY STE D104 & D108
    ANTHEM, AZ
    ZIP 85086
  • Facility Phone: 623 302-9080
  • Facility Type: Other - OUTPATIENT IMAGING
  • Facility Type: Waiver
  • Lab Director: HOWARD J. SIMON
  • NPI Number: 1023614997
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 03D2132727
LAB Type Other - OUTPATIENT IMAGING
Facility Name SMI IMAGING LLC DBA SIMONMED IMAGING - ANTHEM
Street 3618 W ANTHEM WAY STE D104 & D108
City ANTHEM
State AZ
ZIP 85086
Phone 623 302-9080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type Other - OUTPATIENT IMAGING
Lab Director HOWARD J. SIMON

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This page was last updated on: 9/29/2025