Smi Imaging LLC
Organization Active NPI Diagnostic Radiology Physician · Las Vegas, NV
NPI 1114563095 · NPPES record last updated Jul 27, 2020
Key facts
- NPI
- 1114563095
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- SMI IMAGING LLC
- Practice address
- 7540 Oso Blanca Rd Ste 140
Las Vegas, NV 89149-1417 - Phone
- (702) 658-4300
- NPI assigned
- Nov 26, 2019
- Organization subpart
- No
Authorized official
- Name
- Howard John Simon, MD
- Title
- Ceo
- Phone
- (480) 478-6545
Other NPIs on the same Medicare enrollment 11
Practitioners 3
-
David E. Smith, M.D.
-
Barry Sadegi, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 29D2145800 | Simonmed Imaging-Centennial | Certificate of waiver | Mar 14, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180824000170 | NV | Part B Supplier - Clinic/Group Practice | 3476696220 |
Receives reassigned benefits from 56 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
7540 Oso Blanca Rd Ste 140
Las Vegas, NV 89149-1417
Mailing address
6900 E Camelback Rd Ste 700
Scottsdale, AZ 85251-2400
Phone (866) 614-8555
Other names
- SIMONMED IMAGING
Other providers in Las Vegas, NV
- Amy-Katherine Kroll Smee
- Alexis Michelle Smelley
- Guido Smerkin
- Luna Smerkin
- Smfmc LLC
- Smi Imaging LLC
- Smi Imaging LLC
- Smi Imaging LLC
- Smi Imaging LLC
- Smi Imaging LLC
All providers in Las Vegas, NV · Diagnostic Radiology Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.