SMI IMAGING LLC NPI 1033596770

NPI Information

NPI: 1033596770
Provider Name: SMI IMAGING, LLC

Doing Business As: 19TH AVE WOMEN'S CENTER

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
6707 N 19TH AVE
SUITE 101
PHOENIX, AZ
ZIP 85015
Phone: (602) 242-4177
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SMI IMAGING, LLC is a radiology clinic center in Phoenix, AZ. SMI IMAGING, LLC NPI is 1033596770. The provider is registered as an organization entity type.
The provider Is Doing Business As 19th Ave Women's Center.

The provider's business location address is:

6707 N 19TH AVE
SUITE 101
PHOENIX, AZ
ZIP 85015-104
Phone: (602) 242-4177
Fax: (602) 242-4022

The provider's authorized official is Howard J Simon .
The authorized official title is Ceo and has the following contact phone number (602) 242-4177.

The enumeration date for this NPI number is 5/1/2015 and was last updated on 5/1/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology		ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	IN PROCESS	MEDICARE PIN	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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