SMI IMAGING LLC NPI 1083944805

NPI Information

  • NPI: 1083944805
  • Provider Name: SMI IMAGING, LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Other Name: SIMONMED IMAGING - MARYVALE
  • CLIA Number: 03D2136249
  • Address: 4616 N 51ST AVE
    SUITE 104
    PHOENIX, AZ
    ZIP 85031
  • Phone: (714) 571-5000

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NPI Details

SMI IMAGING, LLC is a diagnostic radiology radiology in Phoenix, AZ. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SMI IMAGING, LLC NPI is 1083944805. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Simonmed Imaging - Maryvale.

The provider's business location address is:

4616 N 51ST AVE
SUITE 104
PHOENIX, AZ
ZIP 85031-716
Phone: (714) 571-5000
Fax: (714) 571-5055

The provider's authorized official is Howard J Simon .
The authorized official title is President and has the following contact phone number (480) 264-2400.

The CLIA number assigned to this NPI record is 03D2136249 - other - outpatient imaging with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2009 and was last updated on 12/29/2009.

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
12085R0202XRadiologyDiagnostic RadiologyYes

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: 11/21/2025

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