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NPI Code Detail

MEDICARE: SMI IMAGING LLC

MEDICARE: SMI IMAGING LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician

General Provider Information

NPI Number : 1235775115
Entity Type Code : Organization
Provider Name (Legal Business Name) : SMI IMAGING LLC
Provider Business Mailing Address
First Line : 6900 E CAMELBACK RD STE 700
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-2400
Country : US
Telephone Number : 866-614-8555
Fax Number : 602-302-5706
Provider Business Practice Location Address
First Line : 6301 MOUNTAIN VISTA ST STE 103
Second Line :
City : HENDERSON
State : NV
Zip : 89014-2365
Country : US
Telephone Number : 702-433-7216
Fax Number :
Authorized Official
Title or Position : CEO
Name : HOWARD JOHN SIMON
Credential : MD
Telephone Number : 480-478-6545
Provider Enumeration Date : 11/26/2019
Last Update Date : 07/27/2020

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Directions to “SMI IMAGING LLC ” Practice Location

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