SIMONMED IMAGING - METRO I
NPI 1245552132
Radiology - Diagnostic Radiology in Phoenix, AZ
- Organization
- Radiology
- Diagnostic Radiology
- CLIA Number: 03D2103233
- CLIA Cert. Type: Other - OUTPATIENT RADIOLOGY
- CLIA Exp. Date: 10-07-2027
About SIMONMED IMAGING - METRO I
This page provides the complete NPI Profile along with additional information for Simonmed Imaging - Metro I, 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 1245552132 assigned on February 2010. The practitioner's primary taxonomy code is 2085R0202X with license number OTC4881 (AZ). The provider is registered as an organization and their NPI record was last updated 6 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 - Metro I. The authorized official of this NPI record is Howard John Simon Md (Ceo)
- NPI
- 1245552132 Verify this NPI
- Provider Legal Name
- SMI IMAGING LLC
- Other Organization Name
- SIMONMED IMAGING - METRO I
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 3201 W PEORIA AVE STE B301 PHOENIX, AZ 85029
- Location Phone
- (602) 688-6120
- Mailing Address
- 6900 E CAMELBACK RD STE 700 SCOTTSDALE, AZ 85251
- Mailing Phone
- (480) 306-6949
- Mailing Fax
- (602) 302-5706
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-19-2010
- Last Update Date
- 12-10-2020
- 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
- License No.
- OTC4881
- License State
- AZ
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 544632 | MEDICAID (05) | AZ |
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
- 03D2103233
- Facility Type
- Other - OUTPATIENT RADIOLOGY
- Certificate Effective Date
- October 08, 2025
- Certificate Expiration Date
- October 07, 2027
- Laboratory Director
- HOWARD J. SIMON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Simonmed Imaging - Metro I 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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Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
PHOENIX, AZ 85029
PHOENIX, AZ 85029
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245552132, enumerated as an "organization" on February 19, 2010.
The provider is located at 3201 W PEORIA AVE STE B301 PHOENIX, AZ 85029 and the phone number is (602) 688-6120.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
