SMI IMAGING LLC NPI 1700325511

NPI Information

NPI: 1700325511
Provider Name: SMI IMAGING, LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

CLIA Number: 03D2114227

Address:
10440 E RIGGS RD
120 & 110
SUN LAKES, AZ
ZIP 85248
Phone: (480) 883-6860
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SMI IMAGING, LLC is a radiology clinic center in Sun Lakes, AZ. SMI IMAGING, LLC NPI is 1700325511. The provider is registered as an organization entity type.

The provider's business location address is:

10440 E RIGGS RD
120 & 110
SUN LAKES, AZ
ZIP 85248-751
Phone: (480) 883-6860
Fax: (602) 302-5862

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 03D2114227 - other - outpatient imaging with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2017 and was last updated on 2/14/2017.

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	03D2114227	ARIZONA	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: 5/5/2024

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