03D2136247 CLIA NUMBER - SMI IMAGING LLC DBA SIMONMED IMAGING COPPERPOINT

Laboratory Demographics

  • CLIA Code: 03D2136247
  • Facility Name: SMI IMAGING LLC DBA SIMONMED IMAGING COPPERPOINT
  • Facility Address: 3570 S VAL VISTA DR STE 101
    GILBERT, AZ
    ZIP 85297
  • Facility Phone: 602 320-3344
  • Facility Type: Other - MEDICAL OUTPATIENT IMAGIN
  • Facility Type: Waiver
  • Lab Director: HOWARD J. SIMON
  • NPI Number: 1831795780
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 03D2136247
LAB Type Other - MEDICAL OUTPATIENT IMAGIN
Facility Name SMI IMAGING LLC DBA SIMONMED IMAGING COPPERPOINT
Street 3570 S VAL VISTA DR STE 101
City GILBERT
State AZ
ZIP 85297
Phone 602 320-3344
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2023
Certificate Expiration Date 9/5/2025
Facility Type Other - MEDICAL OUTPATIENT IMAGIN
Lab Director HOWARD J. SIMON

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This page was last updated on: 3/20/2025