Provider Type Icon

SMI IMAGING LLC NPI 1750514998


NPI Information

NPI: 1750514998
Provider Name: SMI IMAGING, LLC

Other Name: SIMONMED IMAGING - DESERT RIDGE

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 03D1098132

Address:
20830 N TATUM BLVD
SUITE 190
PHOENIX, AZ
ZIP 85050
Phone: (480) 306-7900
Get Directions

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 1750514998. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Simonmed Imaging - Desert Ridge.

The provider's business location address is:

20830 N TATUM BLVD
SUITE 190
PHOENIX, AZ
ZIP 85050-256
Phone: (480) 306-7900
Fax: (480) 306-7910

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 03D1098132 - 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyOTC4686ARIZONAYes

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
1Z135528MEDICARE PINARIZONA
2470462MEDICAIDARIZONA
3P00811052OTHERRAILROAD MEDICARE

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

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.