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SIMONMED IMAGING - BAYWOOD
NPI 1801029103
Radiology - Diagnostic Radiology in Mesa, AZ

Active since September 02, 2009CLIA 03D1098120 · Waiver
130 S 63RD ST STE 123, MESA, AZ 85206(480) 264-4900(480) 264-4910 Get Directions Write a Review

NPPES record last updated: September 2, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Simonmed Imaging - Baywood NPPES

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

SIMONMED IMAGING - BAYWOOD (NPI 1801029103) is a healthcare organization registered as a diagnostic radiology in Mesa, 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

NPI1801029103
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSMI IMAGING, LLC
Location Address130 S 63RD ST STE 123Mesa, AZ 85206-1604
Mailing AddressPo Box 7368Orange, CA 92863-7368 · (714) 571-5000 · Fax (714) 571-5055
Phone(480) 264-4900
Fax(480) 264-4910
Organization SubpartNo
Authorized OfficialHoward J SimonPresident · (480) 264-2400
Enumeration DateSeptember 2, 2009
✔ NPI 1801029103 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.

130 S 63RD ST STE 123, Mesa, AZ 85206
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Other Names 1

Other NameSimonmed Imaging - Baywood

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 03D1098120

Simonmed Imaging - Baywood · Mesa, AZ
Active · expires Jan 5, 2027
CLIA Number03D1098120
Laboratory TypeOther
Certificate Effective DateJanuary 6, 2025
Certificate Expiration DateJanuary 5, 2027
Laboratory DirectorHoward J. Simon, MD
Laboratory Phone(480) 264-4900
Laboratory LocationSimonmed Imaging - Baywood130 S 63rd Street Suite 123, Mesa, AZ 85206
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is SMI IMAGING, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1801029103, enumerated as an "organization" on September 02, 2009.

Where is the provider located?

The provider is located at 130 S 63RD ST STE 123 MESA, AZ 85206 and the phone number is (480) 264-4900.

What is the provider's specialty?

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.