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SMI IMAGING LLC NPI 1972736163


NPI Information

NPI: 1972736163
Provider Name: SMI IMAGING, LLC

Other Name: SIMONMED IMAGING - SUN CITY PEORIA

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 03D1098156

Address:
9403 W THUNDERBIRD RD
PEORIA, AZ
ZIP 85381
Phone: (623) 234-8700
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SMI IMAGING, LLC is a diagnostic radiology radiology in Peoria, 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 1972736163. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Simonmed Imaging - Sun City Peoria.

The provider's business location address is:

9403 W THUNDERBIRD RD
PEORIA, AZ
ZIP 85381-825
Phone: (623) 234-8700
Fax: (623) 234-8710

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 03D1098156 - 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 5/10/2010.


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 RadiologyOTC4699ARIZONAYes

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
1477384MEDICAIDARIZONA
2Z136061MEDICARE 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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