NPIMap

Organization Active NPI

Smi Imaging, LLC

  • Radiology Clinic/Center
  • Sun Lakes, AZ
National Provider Identifier
1700325511
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
03D2114227 Issued in AZ
Legal business name
SMI IMAGING, LLC
Practice address
10440 E Riggs Rd
120 & 110
Sun Lakes, AZ 85248-7751
Phone
(480) 883-6860
Fax
(602) 302-5862
NPI assigned
Feb 14, 2017
Last updated
Feb 14, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
SIMONMED IMAGING, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 03D2114227 AZ Primary

Addresses

Primary practice location

10440 E Riggs Rd
120 & 110
Sun Lakes, AZ 85248-7751

Mailing address

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

National Provider Directory

National Provider Directory
Part of
Simonmed Imag Inc

Member of 2

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

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1700325511",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10440 E RIGGS RD",
            "address_2": "120 & 110",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "852487751",
            "telephone_number": "480-883-6860",
            "fax_number": "602-302-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMI IMAGING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIMONMED IMAGING, INC",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "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": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "AZ",
            "license": "03D2114227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Lakes, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.