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SMI IMAGING LLC NPI 1649876806


NPI Information

NPI: 1649876806
Provider Name: SMI IMAGING LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 03D2114207

Address:
4045 E BELL RD STE 143
PHOENIX, AZ
ZIP 85032
Phone: (602) 867-5780
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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 1649876806. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4045 E BELL RD STE 143
PHOENIX, AZ
ZIP 85032-239
Phone: (602) 867-5780

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 03D2114207 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2020 and was last updated on 12/11/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 11/14/2023

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