SIMONMED IMAGING ST PETERSBURG
NPI 1538739479
Radiology - Diagnostic Radiology in St Petersburg, FL

Active since July 01, 2021CLIA 10D2161545 · Waiver
840 DR MARTIN LUTHER KING JR ST N STE 100, ST PETERSBURG, FL 33705(727) 440-8250 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, Jul 1, 2021 (2 updates tracked since 2021).

About Simonmed Imaging St Petersburg NPPES

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

SIMONMED IMAGING ST PETERSBURG (NPI 1538739479) is a healthcare organization registered as a diagnostic radiology in St Petersburg, Florida and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through February 4, 2027 and lists Howard John Simon, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1538739479
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSIMONMED IMAGING FLORIDA LLC
Location Address840 DR MARTIN LUTHER KING JR ST N STE 100St Petersburg, FL 33705-1214
Mailing Address6900 E Camelback Rd Ste 700Scottsdale, AZ 85251-2400 · (480) 306-6949 · Fax (602) 302-5706
Organization SubpartNo
Authorized OfficialHoward John SimonCeo/owner · (602) 809-6623
Enumeration DateJuly 1, 2021
Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
NPI 1538739479 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.
840 DR MARTIN LUTHER KING JR ST N STE 100, St Petersburg, FL 33705

Other Names 1

Doing Business AsSimonmed Imaging St Petersburg

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

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 10D2161545

Simonmed Imaging Florida LLC Dba Simonmed Imaging - St Petersburg · Saint Petersburg, FL
Active · expires Feb 4, 2027
CLIA Number10D2161545
Laboratory TypeOutpatient Med Imaging
Certificate Effective DateFebruary 5, 2025
Certificate Expiration DateFebruary 4, 2027
Laboratory DirectorVijitha K. Reddy
Laboratory Phone(727) 440-8250
Laboratory LocationSimonmed Imaging Florida LLC Dba Simonmed Imaging - St Petersburg840 Dr Mlk Jr St North - Ste 100, Saint Petersburg, FL 33705
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 Simonmed Imaging Florida LLC's NPI number?

The NPI number for Simonmed Imaging Florida LLC is 1538739479. It was assigned to this organization in the NPPES registry on July 1, 2021. The provider is doing business as Simonmed Imaging St Petersburg.

Where is Simonmed Imaging Florida LLC located?

Simonmed Imaging Florida LLC is located at 840 Dr Martin Luther King Jr St N Ste 100, St Petersburg, FL 33705. The listed phone number is (727) 440-8250.

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 10D2161545) is associated with this NPI, valid through February 4, 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.