Smi Imaging, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

OTC4919 Issued in AZ

Legal business name

SMI IMAGING, LLC

Practice address

3033 N Windsong Dr
Suite 102
Prescott Valley, AZ 86314-2290

Phone

(928) 772-5250

Fax

(928) 775-5728

NPI assigned

Feb 19, 2010

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• SimonMed Imaging - Prescott Valley Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Dignity Health

  dba Dignity Health St. Rose Specialty Clinics

  • Neurological Surgery Physician
  • Henderson, NV
  • NPI 1720358039

  Member Of

  NPD member
• Smi Imaging LLC

  dba Simonmed Imaging

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1316583297

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1124340013",
    "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": "3033 N WINDSONG DR",
            "address_2": "SUITE 102",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142290",
            "telephone_number": "928-772-5250",
            "fax_number": "928-775-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMI IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2011-03-30",
        "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": "AZ",
            "license": "OTC4919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "566316",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SimonMed Imaging - Prescott Valley",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sleep Better Southwest PLLC
• Sleep Medicine Solutions, LLC
• Beth Slothower, LISAC
• Tracey Small, MFT INTERN
• Kelli L Smart, PSYCHOLOGIST
• Toni Smith Burgos, RPH
• Smith Valley Vision LLC
• Clarisa Idalia Smith, M.D.
• Jack Smith, PHARMD
• Malorie Jo Smith, MS, LPC

• Diagnostic Radiology Physician in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Diagnostic Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.