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SMI IMAGING LLC NPI 1730312901


NPI Information

NPI: 1730312901
Provider Name: SMI IMAGING, LLC

Other Name: SIMONMED IMAGING - GREENFIELD GUADALUPE

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 03D1077643

Address:
2450 E GUADALUPE RD STE 109
GILBERT, AZ
ZIP 85234
Phone: (480) 284-6019
Get Directions

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 1730312901. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Simonmed Imaging - Greenfield Guadalupe.

The provider's business location address is:

2450 E GUADALUPE RD STE 109
GILBERT, AZ
ZIP 85234-116
Phone: (480) 284-6019
Fax: (480) 686-9315

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 03D1077643 - 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 5/7/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyOTC4705ARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z136065MEDICARE PINARIZONA
2P00811052OTHERRAILROAD MEDICARE
3473162MEDICAIDARIZONA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.