SIMONMED IMAGING
NPI 1235775115
Radiology - Diagnostic Radiology in Henderson, NV

Active since November 26, 2019CLIA 29D2121349 · Waiver
6301 MOUNTAIN VISTA ST STE 103, HENDERSON, NV 89014(702) 433-7216 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 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 1235775115) is a healthcare organization registered as a diagnostic radiology in Henderson, Nevada and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through November 2, 2026 and lists Howard John Simon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235775115
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSMI IMAGING LLC
Location Address6301 MOUNTAIN VISTA ST STE 103Henderson, NV 89014-2365
Mailing Address6900 E Camelback Rd Ste 700Scottsdale, AZ 85251-2400 · (866) 614-8555 · Fax (602) 302-5706
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 1235775115 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.
6301 MOUNTAIN VISTA ST STE 103, Henderson, NV 89014

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

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 29D2121349

Simonmed Imaging-Henderson · Henderson, NV
Active · expires Nov 2, 2026
CLIA Number29D2121349
Laboratory TypeOutpatient Med Imaging
Certificate Effective DateNovember 3, 2024
Certificate Expiration DateNovember 2, 2026
Laboratory DirectorTravis Snyder
Laboratory Phone(702) 433-7216
Laboratory LocationSimonmed Imaging-Henderson6301 Mountain Vista St Ste 103, Henderson, NV 89014
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 Smi Imaging LLC's NPI number?

The NPI number for Smi Imaging LLC is 1235775115. 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 6301 Mountain Vista St Ste 103, Henderson, NV 89014. The listed phone number is (702) 433-7216.

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 29D2121349) is associated with this NPI, valid through November 2, 2026. 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 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.