SMI IMAGING LLC NPI 1336409200

NPI Information

  • NPI: 1336409200
  • Provider Name: SMI IMAGING LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: SIMONMED IMAGING - PHOENIX
  • CLIA Number: 03D2000564
  • Address: 2620 N 3RD ST
    SUITE 102
    PHOENIX, AZ
    ZIP 85004
  • Phone: (602) 234-2994

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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 1336409200. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Simonmed Imaging - Phoenix.

The provider's business location address is:

2620 N 3RD ST
SUITE 102
PHOENIX, AZ
ZIP 85004-153
Phone: (602) 234-2994
Fax: (602) 648-5588

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 03D2000564 - other - imaging center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2012 and was last updated on 5/24/2012.

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?

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This page was last updated on: 3/30/2025

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