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SIMONMED IMAGING HERITAGE SQUARE
NPI 1790354983
Radiology - Diagnostic Radiology in Kissimmee, FL

Active since June 22, 2021CLIA Certified · 2 labs
911 E OAK ST, KISSIMMEE, FL 34744(407) 847-3070(407) 847-2723 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2022, Jun 22, 2021 (2 updates tracked since 2021).

About Simonmed Imaging Heritage Square NPPES

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

SIMONMED IMAGING HERITAGE SQUARE (NPI 1790354983) is a healthcare organization registered as a diagnostic radiology in Kissimmee, Florida and active in the NPI registry since June 2021. The organization holds 2 active CLIA laboratory certificates and lists Howard John Simon, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1790354983
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSIMONMED IMAGING FLORIDA LLC
Location Address911 E OAK STKissimmee, FL 34744-5836
Mailing Address6900 E Camelback Rd Ste 700Scottsdale, AZ 85251-2400 · (480) 306-6949 · Fax (602) 302-5706
Phone(407) 847-3070
Fax(407) 847-2723
Organization SubpartNo
Authorized OfficialHoward John SimonCeo/owner · (602) 809-6623
Enumeration DateJune 22, 2021
Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
✔ NPI 1790354983 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.
911 E OAK ST, Kissimmee, FL 34744
Open in Google Maps ↗

Other Names 1

Doing Business AsSimonmed Imaging Heritage Square

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 Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 10D2229473

Simonmed Imaging Florida LLC Dba Simonmed Imaging- Heritage Square · Kissimmee, FL
Active · expires Jul 12, 2027
CLIA Number10D2229473
Laboratory TypeOutpatient Medical Imagin
Certificate Effective DateJuly 13, 2025
Certificate Expiration DateJuly 12, 2027
Laboratory DirectorVijitha Reddy
Laboratory Phone(407) 847-3070
Laboratory LocationSimonmed Imaging Florida LLC Dba Simonmed Imaging- Heritage Square911 E Oak St, Kissimmee, FL 34744
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2163353

Simonmed Imaging Florida LLC Dba Simonmed Imaging Hunters Creek · Kissimmee, FL
Active · expires Mar 12, 2027
CLIA Number10D2163353
Laboratory TypeOutpatient Medical Imagin
Certificate Effective DateMarch 13, 2025
Certificate Expiration DateMarch 12, 2027
Laboratory DirectorVijitha Reddy
Laboratory Phone(480) 428-5601
Laboratory LocationSimonmed Imaging Florida LLC Dba Simonmed Imaging Hunters Creek1125 Miranda Ln, Kissimmee, FL 34744
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.

REGIONAL MRI OF ORLANDO, INC..
Physiological Laboratory
911 E OAK ST
KISSIMMEE, FL 34744
Osceola County (407) 943-8989

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 1790354983. It was assigned to this organization in the NPPES registry on June 22, 2021. The provider is doing business as Simonmed Imaging Heritage Square.

Where is Simonmed Imaging Florida LLC located?

Simonmed Imaging Florida LLC is located at 911 E Oak St, Kissimmee, FL 34744. The listed phone number is (407) 847-3070.

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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Simonmed Imaging Florida LLC accept?

Health plans from 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.