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SIMONMED IMAGING JACKSONVILLE
NPI 1477123446
Radiology - Diagnostic Radiology in Jacksonville, FL

Active since June 30, 2021CLIA 10D2224694 · Waiver
6138 KENNERLY RD STE 100, JACKSONVILLE, FL 32216(904) 638-0217 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 3, 2022, Jun 30, 2021 (2 updates tracked since 2021).

About Simonmed Imaging Jacksonville NPPES

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

SIMONMED IMAGING JACKSONVILLE (NPI 1477123446) is a healthcare organization registered as a diagnostic radiology in Jacksonville, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through May 13, 2027 and lists Howard John Simon, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1477123446
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSIMONMED IMAGING FLORIDA LLC
Location Address6138 KENNERLY RD STE 100Jacksonville, FL 32216-4393
Mailing Address6900 E Camelback Rd Ste 700Scottsdale, AZ 85251-2400 · (480) 306-6949 · Fax (602) 302-5706
Phone(904) 638-0217
Organization SubpartNo
Authorized OfficialHoward John SimonCeo/owner · (602) 809-6623
Enumeration DateJune 30, 2021
Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
✔ NPI 1477123446 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.
6138 KENNERLY RD STE 100, Jacksonville, FL 32216
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Other Names 1

Doing Business AsSimonmed Imaging Jacksonville

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Molina Healthcare.Insurance ›

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 10D2224694

Simonmed Imaging Florida, LLC Dba Simonmed Imaging - Jacksonville · Jacksonville, FL
Active · expires May 13, 2027
CLIA Number10D2224694
Laboratory TypeRadiology
Certificate Effective DateMay 14, 2025
Certificate Expiration DateMay 13, 2027
Laboratory DirectorVijitha K. Reddy
Laboratory Phone(904) 638-0217
Laboratory LocationSimonmed Imaging Florida, LLC Dba Simonmed Imaging - Jacksonville6138 Kennerly Rd Ste 100, Jacksonville, FL 32216
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 Simonmed Imaging Florida LLC's NPI number?

The NPI number for Simonmed Imaging Florida LLC is 1477123446. It was assigned to this organization in the NPPES registry on June 30, 2021. The provider is doing business as Simonmed Imaging Jacksonville.

Where is Simonmed Imaging Florida LLC located?

Simonmed Imaging Florida LLC is located at 6138 Kennerly Rd Ste 100, Jacksonville, FL 32216. The listed phone number is (904) 638-0217.

What is Simonmed Imaging Florida LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Does Simonmed Imaging Florida LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2224694) is associated with this NPI, valid through May 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Simonmed Imaging Florida LLC accept?

Health plans from AvMed and Molina Healthcare list Simonmed Imaging Florida LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Simonmed Imaging Florida LLC was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.