SMI IMAGING LLC NPI 1811219702

NPI Information

  • NPI: 1811219702
  • Provider Name: SMI IMAGING, LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Other Name: SIMONMED IMAGING - 19TH AVENUE
  • CLIA Number: 03D1096284
  • Address: 6707 N 19TH AVE
    SUITE 108
    PHOENIX, AZ
    ZIP 85015
  • Phone: (602) 242-4177

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NPI Details

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 1811219702. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Simonmed Imaging - 19th Avenue.

The provider's business location address is:

6707 N 19TH AVE
SUITE 108
PHOENIX, AZ
ZIP 85015-104
Phone: (602) 242-4177
Fax: (602) 242-4022

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 03D1096284 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/19/2010 and was last updated on 2/19/2010.

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 RadiologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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