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SIMONMED IMAGING - MESA DRIVE
NPI 1033342217
Radiology - Diagnostic Radiology in Mesa, AZ

Active since September 03, 2009CLIA 03D1098142 · Waiver
456 N MESA DR, MESA, AZ 85201(480) 655-7517(480) 668-7546 Get Directions Write a Review

NPPES record last updated: May 7, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Simonmed Imaging - Mesa Drive NPPES

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

SIMONMED IMAGING - MESA DRIVE (NPI 1033342217) is a healthcare organization registered as a diagnostic radiology in Mesa, Arizona and active in the NPI registry since September 2009. The organization holds a CLIA Waiver certificate valid through January 5, 2027 and lists Howard J Simon, President, as its authorized official.

NPPES Registry Identity

NPI1033342217
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSMI IMAGING, LLC
Location Address456 N MESA DRMesa, AZ 85201-5913
Mailing AddressPo Box 7368Orange, CA 92863-7368 · (714) 571-5000 · Fax (714) 571-5055
Phone(480) 655-7517
Fax(480) 668-7546
Organization SubpartNo
Authorized OfficialHoward J SimonPresident · (480) 264-2400
Enumeration DateSeptember 3, 2009
Last NPPES UpdateMay 7, 2010
✔ NPI 1033342217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in AZ · OTC4695
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
456 N MESA DR, Mesa, AZ 85201
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Other Names 1

Other NameSimonmed Imaging - Mesa Drive

Other Identifiers 3

Medicaid472577AZ
OtherP00811052Railroad Medicare
Medicare PINZ135926AZ

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

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 03D1098142

Simonmed Imaging - Fashion Square · Scottsdale, AZ
Active · expires Jan 5, 2027
CLIA Number03D1098142
Laboratory TypeOther
Certificate Effective DateJanuary 6, 2025
Certificate Expiration DateJanuary 5, 2027
Laboratory DirectorHoward J. Simon, MD
Laboratory Phone(480) 264-2400
Laboratory LocationSimonmed Imaging - Fashion Square6740 E Camelback Road Ste 100, Scottsdale, AZ 85251
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

LONESTAR DIAGNOSTIC
Clinic/Center (Radiology)
456 N MESA DR
MESA, AZ 85201
Maricopa County (480) 733-9900
ARIZONA DIAGNOSTIC IMAGING
Clinic/Center (Radiology)
456 N MESA DR
MESA, AZ 85201
Maricopa County (480) 655-7517
VASILLIOS F SPEROS
Case Manager/Care Coordinator
456 N MESA DR
MESA, AZ 85201
Maricopa County (602) 531-5141

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 1033342217. It was assigned to this organization in the NPPES registry on September 3, 2009. The provider is also known as Simonmed Imaging - Mesa Drive.

Where is Smi Imaging, LLC located?

Smi Imaging, LLC is located at 456 N Mesa Dr, Mesa, AZ 85201. The listed phone number is (480) 655-7517.

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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1098142) is associated with this NPI, valid through January 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Smi Imaging, LLC was last updated on May 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.