SIMONMED IMAGING WINTER PARK III
NPI 1043983752
Radiology - Diagnostic Radiology in Winter Park, FL

Q: What is Simonmed Imaging Florida LLC's NPI number?

The NPI number for Simonmed Imaging Florida LLC is 1043983752. It was assigned to this organization in the NPPES registry on July 28, 2021. The provider is doing business as Simonmed Imaging Winter Park III.

Q: What is Simonmed Imaging Florida LLC's specialty?

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

Active since July 28, 2021CLIA 10D2224121 · Waiver

1350 W FAIRBANKS AVE, WINTER PARK, FL 32789(321) 203-5730 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 3, 2022, Jul 28, 2021 (2 updates tracked since 2021).

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About Simonmed Imaging Winter Park Iii NPPES

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

SIMONMED IMAGING WINTER PARK III (NPI 1043983752) is a healthcare organization registered as a diagnostic radiology in Winter Park, Florida and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through May 11, 2027 and lists Howard John Simon, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1043983752

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NameSIMONMED IMAGING FLORIDA LLC

Location Address1350 W FAIRBANKS AVEWinter Park, FL 32789-4804

Mailing Address6900 E Camelback Rd Ste 700Scottsdale, AZ 85251-2400 · (480) 306-6949 · Fax (602) 302-5706

Phone(321) 203-5730

Organization SubpartNo

Authorized OfficialHoward John SimonCeo/owner · (602) 809-6623

Enumeration DateJuly 28, 2021

Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2022

✔ NPI 1043983752 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.

1350 W FAIRBANKS AVE, Winter Park, FL 32789

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Other Names 1

Doing Business AsSimonmed Imaging Winter Park Iii

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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 10D2224121

Simonmed Imaging Florida LLC Dba Simonmed Imaging - Winter Park III · Winter Park, FL

Active · expires May 11, 2027

CLIA Number10D2224121

Laboratory TypeRadiology

Certificate Effective DateMay 12, 2025

Certificate Expiration DateMay 11, 2027

Laboratory DirectorVijitha Reddy

Laboratory Phone(321) 203-5730

Laboratory LocationSimonmed Imaging Florida LLC Dba Simonmed Imaging - Winter Park III1350 W Fairbanks Ave, Winter Park, FL 32789

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Simonmed Imaging Florida LLC's NPI number?

The NPI number for Simonmed Imaging Florida LLC is 1043983752. It was assigned to this organization in the NPPES registry on July 28, 2021. The provider is doing business as Simonmed Imaging Winter Park III.

Where is Simonmed Imaging Florida LLC located?

Simonmed Imaging Florida LLC is located at 1350 W Fairbanks Ave, Winter Park, FL 32789. The listed phone number is (321) 203-5730.

What is Simonmed Imaging Florida LLC's specialty?

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

Does Simonmed Imaging Florida LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2224121) is associated with this NPI, valid through May 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Simonmed Imaging Florida LLC accept?

Health plans from Molina Healthcare list Simonmed Imaging Florida LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Simonmed Imaging Florida LLC was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.