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General NPI Number Information
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NPI Number | 1609745561
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Entity Type | Organization
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Legal Business Name | SMI IMAGING LLC
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 9499 W CHARLESTON BLVD STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89117-7149
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Country | US
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Telephone | 702-304-0091
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Fax | 702-304-0092
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Provider Business Mailing Address
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Address Line | 16220 N SCOTTSDALE RD STE 600
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-1804
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Country | US
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Telephone | 480-306-6949
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Fax | 602-302-5706
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Authorized Official
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Title or Position | CEO
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Name | DR. HOWARD JOHN SIMON
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Credential | MD
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Telephone | 480-478-6545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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