SMI IMAGING LLC NPI 1841512407

NPI Information

NPI: 1841512407
Provider Name: SMI IMAGING, LLC

Other Name: SIMONMED IMAGING - QUEEN CREEK

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
36297 N GANTZEL ROAD
SUITE 101
QUEEN CREEK, AZ
ZIP 85240
Phone: (480) 987-5638
Get Directions

SMI IMAGING, LLC is a diagnostic radiology radiology in Queen Creek, 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 1841512407. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Simonmed Imaging - Queen Creek.

The provider's business location address is:

36297 N GANTZEL ROAD
SUITE 101
QUEEN CREEK, AZ
ZIP 85240
Phone: (480) 987-5638
Fax: (480) 987-8016

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 enumeration date for this NPI number is 2/24/2010 and was last updated on 3/24/2011.

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
1	2085R0202X	Radiology	Diagnostic Radiology	OTC4854	ARIZONA	Yes

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
1	Z143357	MEDICARE PIN	ARIZONA
2	541996	MEDICAID	ARIZONA

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

NPI Synchronization or Removal

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