Active NPI
Smi Imaging, LLC
- Diagnostic Radiology Physician
- Phoenix, AZ
National Provider Identifier
1255870267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2114207 | Smi Imaging LLC Dba Simonmed Imaging - | Certificate of waiver | Jun 7, 2028 |
National Provider Directory
National Provider DirectoryMember 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.