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SIMONMED IMAGING MESA DESERT CAMPUS
NPI 1013268705
Radiology - Diagnostic Radiology in Mesa, AZ

Active since September 21, 2012CLIA Certified · 4 labs
1111 S DOBSON RD, SUITE 105, MESA, AZ 85202(480) 964-4995(480) 964-7209 Get Directions Write a Review

NPPES record last updated: September 21, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Simonmed Imaging Mesa Desert Campus NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIMONMED IMAGING MESA DESERT CAMPUS (NPI 1013268705) is a healthcare organization registered as a diagnostic radiology in Mesa, Arizona and active in the NPI registry since September 2012. The organization holds 4 active CLIA laboratory certificates and lists Howard J Simon, President, as its authorized official.

NPPES Registry Identity

NPI1013268705
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSMI IMAGING, LLC
Location Address1111 S DOBSON RD, SUITE 105Mesa, AZ 85202-3902
Mailing AddressPo Box 7368Orange, CA 92863-7368 · (714) 571-5000 · Fax (714) 571-5055
Phone(480) 964-4995
Fax(480) 964-7209
Organization SubpartNo
Authorized OfficialHoward J SimonPresident · (480) 264-2400
Enumeration DateSeptember 21, 2012
✔ NPI 1013268705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1111 S DOBSON RD, Mesa, AZ 85202
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Other Names 1

Other NameSimonmed Imaging Mesa Desert Campus

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D1077644

Smi Imaging LLC Dba Simonmed Imaging · Mesa, AZ
Active · expires Apr 17, 2028
CLIA Number03D1077644
Laboratory TypeOther
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorHoward J. Simon
Laboratory Phone(602) 320-3344
Laboratory LocationSmi Imaging LLC Dba Simonmed Imaging1111 S Dobson Road Ste 101, Mesa, AZ 85202
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D1098136

Smi Imaging LLC Dba Simonmed Imaging · Mesa, AZ
Active · expires Apr 12, 2027
CLIA Number03D1098136
Laboratory TypeOther
Certificate Effective DateApril 13, 2025
Certificate Expiration DateApril 12, 2027
Laboratory DirectorH John Simon
Laboratory Phone(480) 264-2400
Laboratory LocationSmi Imaging LLC Dba Simonmed Imaging1425 S Greenfield Rd Ste 114, Mesa, AZ 85206
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D1098150

Smi Imaging LLC Dba Simonmed Imaging - Mtn View · Scottsdale, AZ
Active · expires Apr 12, 2027
CLIA Number03D1098150
Laboratory TypeOther
Certificate Effective DateApril 13, 2025
Certificate Expiration DateApril 12, 2027
Laboratory DirectorH John Simon, MD
Laboratory Phone(480) 264-2400
Laboratory LocationSmi Imaging LLC Dba Simonmed Imaging - Mtn View9201 E Mountain View Road Suite 137, Scottsdale, AZ 85258
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2092111

Smi Imaging LLC Dba Simonmed Imaging - Thompson Peak · Scottsdale, AZ
Active · expires Feb 25, 2027
CLIA Number03D2092111
Laboratory TypeO/Patient Medical Imaging
Certificate Effective DateFebruary 26, 2025
Certificate Expiration DateFebruary 25, 2027
Laboratory DirectorHoward J. Simon
Laboratory Phone(480) 264-2400
Laboratory LocationSmi Imaging LLC Dba Simonmed Imaging - Thompson Peak7304 E Deer Valley Rd, Ste 105, Scottsdale, AZ 85255
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHOENIX DIAGNOSTIC IMAGING INC
Radiology (Diagnostic Radiology)
1111 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 964-4995

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Smi Imaging, LLC's NPI number?

The NPI number for Smi Imaging, LLC is 1013268705. It was assigned to this organization in the NPPES registry on September 21, 2012. The provider is also known as Simonmed Imaging Mesa Desert Campus.

Where is Smi Imaging, LLC located?

Smi Imaging, LLC is located at 1111 S Dobson Rd Suite 105, Mesa, AZ 85202. The listed phone number is (480) 964-4995.

What is Smi Imaging, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Does Smi Imaging, LLC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Smi Imaging, LLC was last updated on September 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.