SIMONMED IMAGING WATERFORD LAKES
NPI 1619547601
Radiology - Diagnostic Radiology in Orlando, FL

Active since June 30, 2021CLIA 10D1080123 · Waiver
775 N ALAFAYA TRL, ORLANDO, FL 32828(321) 235-8700 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

About Simonmed Imaging Waterford Lakes NPPES

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

SIMONMED IMAGING WATERFORD LAKES (NPI 1619547601) is a healthcare organization registered as a diagnostic radiology in Orlando, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through February 13, 2028 and lists Howard John Simon, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1619547601
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSIMONMED IMAGING FLORIDA LLC
Location Address775 N ALAFAYA TRLOrlando, FL 32828-7047
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 DateJune 30, 2021
Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
NPI 1619547601 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.
775 N ALAFAYA TRL, Orlando, FL 32828

Other Names 1

Doing Business AsSimonmed Imaging Waterford Lakes

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 10D1080123

Simonmed Imaging Waterford Lakes · Orlando, FL
Active · expires Feb 13, 2028
CLIA Number10D1080123
Laboratory TypeMedical Radiology
Certificate Effective DateFebruary 14, 2026
Certificate Expiration DateFebruary 13, 2028
Laboratory DirectorVijitha K. Reddy
Laboratory Phone(602) 688-6116
Laboratory LocationSimonmed Imaging Waterford Lakes775 N Alfaya Trl, Orlando, FL 32828
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physiological Laboratory
775 N ALAFAYA TRL
ORLANDO, FL 32828

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 1619547601. It was assigned to this organization in the NPPES registry on June 30, 2021. The provider is doing business as Simonmed Imaging Waterford Lakes.

Where is Simonmed Imaging Florida LLC located?

Simonmed Imaging Florida LLC is located at 775 N Alafaya Trl, Orlando, FL 32828. The listed phone number is (321) 235-8700.

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 10D1080123) is associated with this NPI, valid through February 13, 2028. 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.