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SIMONMED IMAGING BRANDON
NPI 1063041655
Radiology - Diagnostic Radiology in Brandon, FL

Active since April 06, 2020CLIA 10D2161539 · Waiver
613 OAKFIELD DR, BRANDON, FL 33511(813) 703-8027 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2022, Jul 1, 2021, Jul 27, 2020 and 1 more (4 updates tracked since 2020).

About Simonmed Imaging Brandon NPPES

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

SIMONMED IMAGING BRANDON (NPI 1063041655) is a healthcare organization registered as a diagnostic radiology in Brandon, Florida and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through February 4, 2027 and lists Howard John Simon, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1063041655
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSIMONMED IMAGING FLORIDA LLC
Location Address613 OAKFIELD DRBrandon, FL 33511-5714
Mailing Address6900 E Camelback Rd Ste 700Scottsdale, AZ 85251-2400 · (480) 306-6949 · Fax (602) 302-5706
Phone(813) 703-8027
Organization SubpartNo
Authorized OfficialHoward John SimonCeo/owner · (602) 809-6623
Enumeration DateApril 6, 2020
Last NPPES UpdateFebruary 3, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
✔ NPI 1063041655 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.
613 OAKFIELD DR, Brandon, FL 33511
Open in Google Maps ↗

Other Names 1

Doing Business AsSimonmed Imaging Brandon

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 AvMed, Molina Healthcare, Oscar Health Maintenance Organization of Florida.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 10D2161539

Simonmed Imaging Florida LLC Dba Simonmed Imaging-Brandon · Brandon, FL
Active · expires Feb 4, 2027
CLIA Number10D2161539
Laboratory TypeOutpatient Med Imaging
Certificate Effective DateFebruary 5, 2025
Certificate Expiration DateFebruary 4, 2027
Laboratory DirectorVijitha K. Reddy
Laboratory Phone(602) 688-6116
Laboratory LocationSimonmed Imaging Florida LLC Dba Simonmed Imaging-Brandon613 Oakfield Dr, Brandon, FL 33511
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

NORTH BRANDON IMAGING, LLC
Radiology (Diagnostic Radiology)
613 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (813) 661-2222
DR. JOHN DAVID MCTAGGART M.D.
Radiology (Diagnostic Ultrasound)
613 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (813) 661-2222
DR. MARK DOUGLAS NANNI MD
Radiology (Diagnostic Radiology)
613 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (813) 661-2222
NORTH BRANDON IMAGING LLC
Clinic/Center (Radiology)
613 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (813) 661-2222
DR. BRIAN FORREST BUTLER MD
Radiology (Diagnostic Ultrasound)
613 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (813) 661-2222

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 1063041655. It was assigned to this organization in the NPPES registry on April 6, 2020. The provider is doing business as Simonmed Imaging Brandon.

Where is Simonmed Imaging Florida LLC located?

Simonmed Imaging Florida LLC is located at 613 Oakfield Dr, Brandon, FL 33511. The listed phone number is (813) 703-8027.

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 10D2161539) is associated with this NPI, valid through February 4, 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 AvMed, Molina Healthcare and Oscar Health Maintenance Organization of Florida 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.