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SIMONMED IMAGING - DESERT RIDGE
NPI 1750514998
Radiology - Diagnostic Radiology in Phoenix, AZ

Active since September 03, 2009CLIA 03D1098132 · Waiver
20830 N TATUM BLVD, SUITE 190, PHOENIX, AZ 85050(480) 306-7900(480) 306-7910 Get Directions Write a Review

NPPES record last updated: May 7, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Simonmed Imaging - Desert Ridge NPPES

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

SIMONMED IMAGING - DESERT RIDGE (NPI 1750514998) is a healthcare organization registered as a diagnostic radiology in Phoenix, Arizona and active in the NPI registry since September 2009. The organization holds a CLIA Waiver certificate valid through January 5, 2027 and lists Howard J Simon, President, as its authorized official.

NPPES Registry Identity

NPI1750514998
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSMI IMAGING, LLC
Location Address20830 N TATUM BLVD, SUITE 190Phoenix, AZ 85050-7256
Mailing AddressPo Box 7368Orange, CA 92863-7368 · (714) 571-5000 · Fax (714) 571-5055
Phone(480) 306-7900
Fax(480) 306-7910
Organization SubpartNo
Authorized OfficialHoward J SimonPresident · (480) 264-2400
Enumeration DateSeptember 3, 2009
Last NPPES UpdateMay 7, 2010
✔ NPI 1750514998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in AZ · OTC4686
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
20830 N TATUM BLVD, Phoenix, AZ 85050
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Other Names 1

Other NameSimonmed Imaging - Desert Ridge

Other Identifiers 3

Medicare PINZ135528AZ
Medicaid470462AZ
OtherP00811052Railroad Medicare

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

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 03D1098132

Simonmed Imaging - Desert Ridge · Phoenix, AZ
Active · expires Jan 5, 2027
CLIA Number03D1098132
Laboratory TypeOther
Certificate Effective DateJanuary 6, 2025
Certificate Expiration DateJanuary 5, 2027
Laboratory DirectorHoward J. Simon MD
Laboratory Phone(480) 306-7900
Laboratory LocationSimonmed Imaging - Desert Ridge20830 N Tatum Blvd Ste 190, Phoenix, AZ 85050
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

JOSEPH M. GAZO P.T.
Physical Therapist
20830 N TATUM BLVD, SUITE 115
PHOENIX, AZ 85050
Maricopa County (480) 473-1200
DR. DAVID WILLIAM ORLOWSKI
Counselor (Professional)
20830 N TATUM BLVD
PHOENIX, AZ 85050
Maricopa County (602) 549-0979
PHYSIOTHERAPY ASSOCIATES INC
Clinic/Center (Rehabilitation)
20830 N TATUM BLVD, SUITE 115
PHOENIX, AZ 85050
Maricopa County (408) 473-1200
DR. KATHLEEN BARTH PT
Physical Therapist
20830 N TATUM BLVD, SUITE 115
PHOENIX, AZ 85050
Maricopa County (480) 473-1200
AMERICAN FAMILY CHIROPRACTIC & REHAB AT DESERT RIDGE, LLC
Chiropractor
20830 N TATUM BLVD, SUITE 210
PHOENIX, AZ 85050
Maricopa County (480) 563-1144
JESSICA KEELER TATE DPT, OCS
Physical Therapist (Orthopedic)
20830 N TATUM BLVD, SUITE 115
PHOENIX, AZ 85050
Maricopa County (480) 473-1200

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 Smi Imaging, LLC's NPI number?

The NPI number for Smi Imaging, LLC is 1750514998. It was assigned to this organization in the NPPES registry on September 3, 2009. The provider is also known as Simonmed Imaging - Desert Ridge.

Where is Smi Imaging, LLC located?

Smi Imaging, LLC is located at 20830 N Tatum Blvd Suite 190, Phoenix, AZ 85050. The listed phone number is (480) 306-7900.

What is Smi Imaging, LLC's specialty?

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

Does Smi Imaging, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1098132) is associated with this NPI, valid through January 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Smi Imaging, LLC was last updated on May 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.