SIMONMED IMAGING PARK SOUTH
NPI 1114597184
Radiology - Diagnostic Radiology in Bradenton, FL

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

The NPI number for Simonmed Imaging Florida LLC is 1114597184. It was assigned to this organization in the NPPES registry on June 30, 2021. The provider is doing business as Simonmed Imaging Park South.

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 June 30, 2021CLIA 10D1074297 · Waiver

6215 21ST AVE W STE A, BRADENTON, FL 34209(941) 795-4449 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2022, Jun 30, 2021 (2 updates tracked since 2021).

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About Simonmed Imaging Park South NPPES

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

SIMONMED IMAGING PARK SOUTH (NPI 1114597184) is a healthcare organization registered as a diagnostic radiology in Bradenton, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through September 25, 2027 and lists Howard John Simon, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1114597184

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NameSIMONMED IMAGING FLORIDA LLC

Location Address6215 21ST AVE W STE ABradenton, FL 34209-7819

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

Phone(941) 795-4449

Organization SubpartNo

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

Enumeration DateJune 30, 2021

Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2022

✔ NPI 1114597184 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.

6215 21ST AVE W STE A, Bradenton, FL 34209

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Other Names 1

Doing Business AsSimonmed Imaging Park South

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.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 10D1074297

Simonmed Imaging Florida LLC Dba Simonmed Imaging Park South · Bradenton, FL

Active · expires Sep 25, 2027

CLIA Number10D1074297

Laboratory TypeOutpatient Med Imaging

Certificate Effective DateSeptember 26, 2025

Certificate Expiration DateSeptember 25, 2027

Laboratory DirectorReddy K. Vijitha

Laboratory Phone(941) 795-4449

Laboratory LocationSimonmed Imaging Florida LLC Dba Simonmed Imaging Park South6215 21st Ave W Ste A, Bradenton, FL 34209

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 1114597184. It was assigned to this organization in the NPPES registry on June 30, 2021. The provider is doing business as Simonmed Imaging Park South.

Where is Simonmed Imaging Florida LLC located?

Simonmed Imaging Florida LLC is located at 6215 21st Ave W Ste A, Bradenton, FL 34209. The listed phone number is (941) 795-4449.

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 10D1074297) is associated with this NPI, valid through September 25, 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 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.