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SIMONMED IMAGING
NPI 1124664008
Radiology - Diagnostic Radiology in Henderson, NV

Active since November 26, 2019CLIA Certified · 2 labs
861 CORONADO CENTER DR STE 101, HENDERSON, NV 89052(702) 260-2120 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2020, Nov 26, 2019 (2 updates tracked since 2019).

About Simonmed Imaging NPPES

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

SIMONMED IMAGING (NPI 1124664008) is a healthcare organization registered as a diagnostic radiology in Henderson, Nevada and active in the NPI registry since November 2019. The organization holds 2 active CLIA laboratory certificates and lists Howard John Simon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124664008
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSMI IMAGING LLC
Location Address861 CORONADO CENTER DR STE 101Henderson, NV 89052-3992
Mailing Address6900 E Camelback Rd Ste 700Scottsdale, AZ 85251-2400 · (866) 614-8555 · Fax (602) 302-5706
Phone(702) 260-2120
Organization SubpartNo
Authorized OfficialHoward John SimonCeo · (480) 478-6545
Enumeration DateNovember 26, 2019
Last NPPES UpdateJuly 27, 20202 updates tracked since enumeration
NPPES CertifiedJuly 27, 2020
✔ NPI 1124664008 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.
861 CORONADO CENTER DR STE 101, Henderson, NV 89052
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Other Names 1

Doing Business AsSimonmed Imaging

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 29D2163730

Simonmed Imaging-Coronado · Henderson, NV
Active · expires Mar 19, 2027
CLIA Number29D2163730
Laboratory TypeOp Medical Imaging
Certificate Effective DateMarch 20, 2025
Certificate Expiration DateMarch 19, 2027
Laboratory DirectorTravis H. Snyder
Laboratory Phone(702) 260-2120
Laboratory LocationSimonmed Imaging-Coronado861 Coronado Center Dr Ste 101, Henderson, NV 89052
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 29D2163408

Simonmed Imaging-Southwest · Las Vegas, NV
Active · expires Mar 12, 2027
CLIA Number29D2163408
Laboratory TypeOutpatient Med Imaging
Certificate Effective DateMarch 13, 2025
Certificate Expiration DateMarch 12, 2027
Laboratory DirectorTravis H. Snyder
Laboratory Phone(702) 260-2120
Laboratory LocationSimonmed Imaging-Southwest8530 W Sunset Rd Ste 120, Las Vegas, NV 89113
CLIA data matches this NPI record on: 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 Smi Imaging LLC's NPI number?

The NPI number for Smi Imaging LLC is 1124664008. It was assigned to this organization in the NPPES registry on November 26, 2019. The provider is doing business as Simonmed Imaging.

Where is Smi Imaging LLC located?

Smi Imaging LLC is located at 861 Coronado Center Dr Ste 101, Henderson, NV 89052. The listed phone number is (702) 260-2120.

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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Smi Imaging LLC was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.