03D2162895 CLIA NUMBER - SMI IMAGING, LLC DBA SIMONMED IMAGING-MARICOPA

Laboratory Demographics

  • CLIA Code: 03D2162895
  • Facility Name: SMI IMAGING, LLC DBA SIMONMED IMAGING-MARICOPA
  • Facility Address: 44555 W EDISON RD
    MARICOPA, AZ
    ZIP 85138
  • Facility Phone: 602 688-6116
  • Facility Type: Other - OUTPATIENT IMAGING
  • Facility Type: Waiver
  • Lab Director: HOWARD J. SIMON
  • NPI Number: 1053917914
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 03D2162895
LAB Type Other - OUTPATIENT IMAGING
Facility Name SMI IMAGING, LLC DBA SIMONMED IMAGING-MARICOPA
Street 44555 W EDISON RD
City MARICOPA
State AZ
ZIP 85138
Phone 602 688-6116
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type Other - OUTPATIENT IMAGING
Lab Director HOWARD J. SIMON

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