03D2162708 CLIA NUMBER - SMI IMAGING, LLC DBA SIMONMED IMAGING - PLAZA PALOMINO

Laboratory Demographics

  • CLIA Code: 03D2162708
  • Facility Name: SMI IMAGING, LLC DBA SIMONMED IMAGING - PLAZA PALOMINO
  • Facility Address: 2990 N SWAN RD SUITE 145
    TUCSON, AZ
    ZIP 85712
  • Facility Phone: 602 888-6116
  • Facility Type: Other - OP MEDICAL IMAGING
  • Facility Type: Waiver
  • Lab Director: HOWARD J. SIMON
  • NPI Number: 1689270530
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 03D2162708
LAB Type Other - OP MEDICAL IMAGING
Facility Name SMI IMAGING, LLC DBA SIMONMED IMAGING - PLAZA PALOMINO
Street 2990 N SWAN RD SUITE 145
City TUCSON
State AZ
ZIP 85712
Phone 602 888-6116
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Other - OP MEDICAL IMAGING
Lab Director HOWARD J. SIMON

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