03D2136249 CLIA NUMBER - SMI IMAGING LLC DBA SIMONMED IMAGING BANNER ESTRELLA

Laboratory Demographics

  • CLIA Code: 03D2136249
  • Facility Name: SMI IMAGING LLC DBA SIMONMED IMAGING BANNER ESTRELLA
  • Facility Address: 8921 W THOMAS RD STE 101
    PHOENIX, AZ
    ZIP 85037
  • Facility Phone: 602 601-4000
  • Facility Type: Other - OUTPATIENT IMAGING
  • Facility Type: Waiver
  • Lab Director: HOWARD J. SIMON
  • NPI Number: 1083944805
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 03D2136249
LAB Type Other - OUTPATIENT IMAGING
Facility Name SMI IMAGING LLC DBA SIMONMED IMAGING BANNER ESTRELLA
Street 8921 W THOMAS RD STE 101
City PHOENIX
State AZ
ZIP 85037
Phone 602 601-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2025
Certificate Expiration Date 9/5/2027
Facility Type Other - OUTPATIENT IMAGING
Lab Director HOWARD J. SIMON

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