SMI IMAGING LLC NPI 1801029103

NPI Information

  • NPI: 1801029103
  • Provider Name: SMI IMAGING, LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Other Name: SIMONMED IMAGING - BAYWOOD
  • CLIA Number: 03D1098120
  • Address: 130 S 63RD ST STE 123
    MESA, AZ
    ZIP 85206
  • Phone: (480) 264-4900

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NPI Details

SMI IMAGING, LLC is a diagnostic radiology radiology in Mesa, 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 1801029103. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Simonmed Imaging - Baywood.

The provider's business location address is:

130 S 63RD ST STE 123
MESA, AZ
ZIP 85206-604
Phone: (480) 264-4900
Fax: (480) 264-4910

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 03D1098120 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/2/2009 and was last updated on 9/2/2009.

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 RadiologyYes

What is NPI?

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This page was last updated on: 3/30/2025

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