Organization Active NPI

Smi Imaging, LLC

  • Diagnostic Radiology Physician
  • Phoenix, AZ
National Provider Identifier
1255870267
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SMI IMAGING, LLC
Practice address
4219 E Bell Rd
Phoenix, AZ 85032-3366
Phone
(480) 584-5525
Fax
(602) 302-5860
NPI assigned
Feb 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tracy Prince
Title
Physicians Onboarding Manager
Phone
(602) 651-1945

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

4219 E Bell Rd
Phoenix, AZ 85032-3366

Mailing address

6900 E Camelback Rd
Suite #700
Scottsdale, AZ 85251-2431
Phone (602) 651-1945

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2114207Smi Imaging LLC Dba Simonmed Imaging -4219 E Bell Rd, Phoenix, AZ 85032Certificate of waiverJun 7, 2028

National Provider Directory

National Provider Directory

Member of 2

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

NPI Registry JSON

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1255870267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 E CAMELBACK RD",
            "address_2": "SUITE #700",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512431",
            "telephone_number": "602-651-1945",
            "fax_number": "602-302-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4219 E BELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323366",
            "telephone_number": "480-584-5525",
            "fax_number": "602-302-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMI IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-23",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PHYSICIANS ONBOARDING MANAGER",
        "authorized_official_telephone_number": "602-651-1945"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 23, 2017; 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.