SMI IMAGING LLC NPI 1356574537

NPI Information

NPI: 1356574537
Provider Name: SMI IMAGING, LLC

Other Name: SIMONMED IMAGING - SPECTRUM

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
2680 S VAL VISTA DR BLDG 7
SUITE 135
GILBERT, AZ
ZIP 85295
Phone: (480) 584-4900
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SMI IMAGING, LLC is a diagnostic radiology radiology in Gilbert, 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 1356574537. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Simonmed Imaging - Spectrum.

The provider's business location address is:

2680 S VAL VISTA DR BLDG 7
SUITE 135
GILBERT, AZ
ZIP 85295-152
Phone: (480) 584-4900
Fax: (480) 584-4910

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 03D1098155 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/3/2009 and was last updated on 6/9/2010.

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	OTC4698	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	Z136066	MEDICARE PIN	ARIZONA
2	P00811052	OTHER		RAILROAD MEDICARE
3	473154	MEDICAID	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: 11/14/2023

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