SMI IMAGING LLC NPI 1245836154

NPI Information

NPI: 1245836154
Provider Name: SMI IMAGING LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 03D2154090

Address:
1000 N HUMPHREYS ST STE 100
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 223-0200
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SMI IMAGING LLC is a diagnostic radiology radiology in Flagstaff, 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 1245836154. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1000 N HUMPHREYS ST STE 100
FLAGSTAFF, AZ
ZIP 86001-124
Phone: (928) 223-0200

The provider's authorized official is Howard John Simon .
The authorized official title is Ceo and has the following contact phone number (480) 478-6545.

The CLIA number assigned to this NPI record is 03D2154090 - other - outpatient imaging with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2020 and was last updated on 12/7/2020.

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	2085R0202X	Radiology	Diagnostic Radiology			Yes

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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