SMI IMAGING LLC
NPI 1376149898
Radiology - Diagnostic Radiology in Peoria, AZ

NPI Status: Active since December 09, 2020

Contact Information

9139 W THUNDERBIRD RD STE 112
PEORIA, AZ
ZIP 85381
Phone: (623) 875-1637

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  • Organization
  • Radiology
  • Diagnostic Radiology
  • CLIA Number: 03D1088522
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 08-26-2026

About SMI IMAGING LLC

This page provides the complete NPI Profile along with additional information for Smi Imaging Llc, a provider established in Peoria, Arizona operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1376149898 assigned on December 2020. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Howard John Simon Md (Ceo)

NPI
1376149898
Provider Name
SMI IMAGING LLC
Entity Type
Organization
Location Address
9139 W THUNDERBIRD RD STE 112 PEORIA, AZ 85381
Location Phone
(623) 875-1637
Mailing Address
6900 E CAMELBACK RD STE 700 SCOTTSDALE, AZ 85251
Mailing Phone
(480) 306-6949
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-09-2020
Last Update Date
12-09-2020
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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
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

HOWARD JOHN SIMON MD

Authorized Official Title
CEO
Authorized Official Phone
(480) 478-6545

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
03D1088522
Facility Type
Other
Certificate Effective Date
August 27, 2024
Certificate Expiration Date
August 26, 2026
Laboratory Director
HOWARD J. SIMON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Smi Imaging Llc 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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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1376149898
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231462418818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 2 + 4 + 1 + 8 + 8 + 1 + 8 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1376149898 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376149898, enumerated as an "organization" on December 09, 2020.

The provider is located at 9139 W THUNDERBIRD RD STE 112 PEORIA, AZ 85381 and the phone number is (623) 875-1637.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.