06D1103557 CLIA NUMBER - SMI IMAGING, LLC DBA - SIMONMED IMAGING - BROADWAY

Laboratory Demographics

  • CLIA Code: 06D1103557
  • Facility Name: SMI IMAGING, LLC DBA - SIMONMED IMAGING - BROADWAY
  • Facility Address: 939 BROADWAY
    DENVER, CO
    ZIP 80203
  • Facility Phone: 720 932-0930
  • Facility Type: Other - OUTPATIENT IMAGING CENTER
  • Facility Type: Waiver
  • Lab Director: DR. HOWARD J. SIMON
  • NPI Number: 1881230829
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 06D1103557
LAB Type Other - OUTPATIENT IMAGING CENTER
Facility Name SMI IMAGING, LLC DBA - SIMONMED IMAGING - BROADWAY
Street 939 BROADWAY
City DENVER
State CO
ZIP 80203
Phone 720 932-0930
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Other - OUTPATIENT IMAGING CENTER
Lab Director DR. HOWARD J. SIMON

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