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SIMONMED IMAGING - PRESCOTT VALLEY
NPI 1124340013
Radiology - Diagnostic Radiology in Prescott Valley, AZ

Active since February 19, 2010CLIA 03D1098121 · Waiver
3033 N WINDSONG DR, SUITE 102, PRESCOTT VALLEY, AZ 86314(928) 772-5250(928) 775-5728 Get Directions Write a Review

NPPES record last updated: March 30, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Simonmed Imaging - Prescott Valley NPPES

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

SIMONMED IMAGING - PRESCOTT VALLEY (NPI 1124340013) is a healthcare organization registered as a diagnostic radiology in Prescott Valley, Arizona and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through April 12, 2027 and lists Howard J Simon, President, as its authorized official.

NPPES Registry Identity

NPI1124340013
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSMI IMAGING, LLC
Location Address3033 N WINDSONG DR, SUITE 102Prescott Valley, AZ 86314-2290
Mailing AddressPo Box 7368Orange, CA 92863-7368 · (714) 571-5000 · Fax (714) 571-5055
Phone(928) 772-5250
Fax(928) 775-5728
Organization SubpartNo
Authorized OfficialHoward J SimonPresident · (480) 264-2400
Enumeration DateFebruary 19, 2010
Last NPPES UpdateMarch 30, 2011
✔ NPI 1124340013 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 · OTC4919
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3033 N WINDSONG DR, Prescott Valley, AZ 86314
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Other Names 1

Other NameSimonmed Imaging - Prescott Valley

Other Identifiers 2

Medicaid566316AZ
Medicare PINZ143396AZ

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 03D1098121

Simonmed Imaging - Prescott Valley · Prescott Valley, AZ
Active · expires Apr 12, 2027
CLIA Number03D1098121
Laboratory TypeOther
Certificate Effective DateApril 13, 2025
Certificate Expiration DateApril 12, 2027
Laboratory DirectorHoward J. Simon, MD
Laboratory Phone(928) 772-5250
Laboratory LocationSimonmed Imaging - Prescott Valley3033 N Windsong Drive Ste #102/103, Prescott Valley, AZ 86314
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

ESSIE F PATTERSON OTRL CHT
Occupational Therapist (Hand)
3033 N WINDSONG DR, STE 205
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 775-4499
DESERT HAND THERAPY LLC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
3033 N WINDSONG DR, 205
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 775-4499
DR. ROBERT E PATTERSON DDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
3033 N WINDSONG DR, SUITE 201
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 772-7353
FOOTHILLS SPORTS MEDICINE & REHABILITATION - PRESCOTT VALLEY, INC
Physical Therapist
3033 N WINDSONG DR, SUITE 101
PRESCOTT VALLEY, AZ 86314
Yavapai County (480) 706-1161

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 1124340013. It was assigned to this organization in the NPPES registry on February 19, 2010. The provider is also known as Simonmed Imaging - Prescott Valley.

Where is Smi Imaging, LLC located?

Smi Imaging, LLC is located at 3033 N Windsong Dr Suite 102, Prescott Valley, AZ 86314. The listed phone number is (928) 772-5250.

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 03D1098121) is associated with this NPI, valid through April 12, 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 March 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.