Active NPI
Smi Imaging, LLC
- Diagnostic Radiology Physician
- Phoenix, AZ
National Provider Identifier
1083944805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- SMI IMAGING, LLC
- Practice address
- 4616 N 51St Ave
Suite 104
Phoenix, AZ 85031-1716 - Phone
- (714) 571-5000
- Fax
- (714) 571-5055
- NPI assigned
- Dec 29, 2009
- Last updated
- Dec 29, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Howard J Simon, M.D.
- Title
- President
- Phone
- (480) 264-2400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
4616 N 51St Ave
Suite 104
Phoenix, AZ 85031-1716
Mailing address
PO Box 7368
Orange, CA 92863-7368
Phone (714) 571-5000
Other names 1
- SimonMed Imaging - Maryvale
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Mercy Gilbert Medical Center
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1992735088
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262044800000",
"number": "1083944805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7368",
"city": "ORANGE",
"state": "CA",
"postal_code": "928637368",
"telephone_number": "714-571-5000",
"fax_number": "714-571-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4616 N 51ST AVE",
"address_2": "SUITE 104",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850311716",
"telephone_number": "714-571-5000",
"fax_number": "714-571-5055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMI IMAGING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-29",
"last_updated": "2009-12-29",
"status": "A",
"authorized_official_last_name": "SIMON",
"authorized_official_first_name": "HOWARD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "480-264-2400",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SimonMed Imaging - Maryvale",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.