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SMI IMAGING LLC NPI 1780823997


NPI Information

NPI: 1780823997
Provider Name: SMI IMAGING, LLC

Other Name: SIMONMED IMAGING - MOUNTAIN VIEW

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 03D2092111

Address:
9201 E MOUNTAIN VIEW RD
SUITE 137
SCOTTSDALE, AZ
ZIP 85258
Phone: (480) 614-8555
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SMI IMAGING, LLC is a diagnostic radiology radiology in Scottsdale, 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 1780823997. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Simonmed Imaging - Mountain View.

The provider's business location address is:

9201 E MOUNTAIN VIEW RD
SUITE 137
SCOTTSDALE, AZ
ZIP 85258-199
Phone: (480) 614-8555
Fax: (480) 614-8666

The provider's authorized official is Howard John 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 03D2092111 - other - o/patient medical imaging with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/11/2009 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 RadiologyOTC4696ARIZONAYes

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
1472759MEDICAIDARIZONA
2Z135525MEDICARE PINARIZONA
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: 4/28/2024

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