SIMONMED IMAGING - MARYVALE
NPI 1083944805
Radiology - Diagnostic Radiology in Phoenix, AZ
NPI Status: Active since December 29, 2009
Contact Information
4616 N 51ST AVE
SUITE 104
PHOENIX, AZ
ZIP 85031
Phone: (714) 571-5000
Fax: (714) 571-5055
- Organization
- Radiology
- Diagnostic Radiology
- CLIA Number: 03D2136249
- CLIA Cert. Type: Other - OUTPATIENT IMAGING
- CLIA Exp. Date: 09-05-2027
About SIMONMED IMAGING - MARYVALE
This page provides the complete NPI Profile along with additional information for Simonmed Imaging - Maryvale, a provider established in Phoenix, Arizona operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1083944805 assigned on December 2009. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Simonmed Imaging - Maryvale. The authorized official of this NPI record is Howard J Simon M.d. (President)
- NPI
- 1083944805
- Provider Legal Name
- SMI IMAGING, LLC
- Other Organization Name
- SIMONMED IMAGING - MARYVALE
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 4616 N 51ST AVE SUITE 104 PHOENIX, AZ 85031
- Location Phone
- (714) 571-5000
- Location Fax
- (714) 571-5055
- Mailing Address
- PO BOX 7368 ORANGE, CA 92863
- Mailing Phone
- (714) 571-5000
- Mailing Fax
- (714) 571-5055
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-29-2009
- Last Update Date
- 12-29-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2136249
- Facility Type
- Other - OUTPATIENT IMAGING
- Certificate Effective Date
- September 06, 2025
- Certificate Expiration Date
- September 05, 2027
- Laboratory Director
- HOWARD J. SIMON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Simonmed Imaging - Maryvale to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1083944805, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
PHOENIX, AZ 85031
PHOENIX, AZ 85031
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083944805, enumerated as an "organization" on December 29, 2009.
The provider is located at 4616 N 51ST AVE SUITE 104 PHOENIX, AZ 85031 and the phone number is (714) 571-5000.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
