SMI IMAGING LLC NPI 1417403304

NPI Information

NPI: 1417403304
Provider Name: SMI IMAGING, LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

CLIA Number: 03D2115537

Address:
1313 W SAINT MARYS RD
TUCSON, AZ
ZIP 85745
Phone: (520) 449-8115
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SMI IMAGING, LLC is a radiology clinic center in Tucson, AZ. SMI IMAGING, LLC NPI is 1417403304. The provider is registered as an organization entity type.

The provider's business location address is:

1313 W SAINT MARYS RD
TUCSON, AZ
ZIP 85745-112
Phone: (520) 449-8115
Fax: (520) 622-1185

The provider's authorized official is Tracy Prince .
The authorized official title is Physicians Onboarding Manager and has the following contact phone number (602) 651-1945.

The CLIA number assigned to this NPI record is 03D2115537 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2016 and was last updated on 8/30/2016.

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			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	PENDING	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: 11/14/2023

NPI Synchronization or Removal

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