SIMONMED IMAGING - AVONDALE
NPI 1720211022
Radiology - Diagnostic Radiology in Avondale, AZ
NPI Status: Active since September 02, 2009
Contact Information
10815 W MCDOWELL RD
SUITE 102
AVONDALE, AZ
ZIP 85392
Phone: (623) 423-0121
Fax: (623) 433-0122
- Organization
- Radiology
- Diagnostic Radiology
- Accepts Insurance
- CLIA Number: 03D1098119
- CLIA Cert. Type: Other - OUTPATIENT RADIOLOGY
- CLIA Exp. Date: 01-05-2027
About SIMONMED IMAGING - AVONDALE
This page provides the complete NPI Profile along with additional information for Simonmed Imaging - Avondale, a provider established in Avondale, Arizona operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1720211022 assigned on September 2009. The practitioner's primary taxonomy code is 2085R0202X with license number OTC4683 (AZ). The provider is registered as an organization and their NPI record was last updated 16 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 - Avondale. The authorized official of this NPI record is Howard J Simon M.d. (President)
- NPI
- 1720211022
- Provider Legal Name
- SMI IMAGING, LLC
- Other Organization Name
- SIMONMED IMAGING - AVONDALE
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 10815 W MCDOWELL RD SUITE 102 AVONDALE, AZ 85392
- Location Phone
- (623) 423-0121
- Location Fax
- (623) 433-0122
- Mailing Address
- PO BOX 7368 ORANGE, CA 92863
- Mailing Phone
- (714) 571-5000
- Mailing Fax
- (623) 433-0122
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-02-2009
- Last Update Date
- 05-07-2010
- 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.
- OTC4683
- 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:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
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.
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 |
|---|---|---|---|
| P00811052 | OTHER (01) | RAILROAD MEDICARE | |
| Z135833 | MEDICARE PIN (08) | AZ | |
| 473312 | 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
- 03D1098119
- Facility Type
- Other - OUTPATIENT RADIOLOGY
- Certificate Effective Date
- January 06, 2025
- Certificate Expiration Date
- January 05, 2027
- Laboratory Director
- HOWARD J. SIMON, MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Simonmed Imaging - Avondale 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.
Reviews for SIMONMED IMAGING - AVONDALE
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1720211022, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 48 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
AVONDALE, AZ 85392
AVONDALE, AZ 85392
AVONDALE, AZ 85392
AVONDALE, AZ 85392
AVONDALE, AZ 85392
AVONDALE, AZ 85392
AVONDALE, AZ 85392
AVONDALE, AZ 85392
AVONDALE, AZ 85392
AVONDALE, AZ 85392
AVONDALE, AZ 85392
AVONDALE, AZ 85392
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720211022, enumerated as an "organization" on September 02, 2009.
The provider is located at 10815 W MCDOWELL RD SUITE 102 AVONDALE, AZ 85392 and the phone number is (623) 423-0121.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Railroad. Please consult your insurance carrier or call the provider to verify.
