SIMONMED IMAGING - 19TH AVENUE
NPI 1811219702
Radiology - Diagnostic Radiology in Phoenix, AZ
NPI Status: Active since February 19, 2010
Contact Information
6707 N 19TH AVE
SUITE 108
PHOENIX, AZ
ZIP 85015
Phone: (602) 242-4177
Fax: (602) 242-4022
- Organization
- Radiology
- Diagnostic Radiology
- CLIA Number: 03D1096284
- CLIA Cert. Type: Other
- CLIA Exp. Date: 03-01-2027
About SIMONMED IMAGING - 19TH AVENUE
This page provides the complete NPI Profile along with additional information for Simonmed Imaging - 19th Avenue, a provider established in Phoenix, Arizona operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1811219702 assigned on February 2010. The practitioner's primary taxonomy code is 2085R0202X. 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 - 19th Avenue. The authorized official of this NPI record is Howard J Simon M.d. (President)
- NPI
- 1811219702
- Provider Legal Name
- SMI IMAGING, LLC
- Other Organization Name
- SIMONMED IMAGING - 19TH AVENUE
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 6707 N 19TH AVE SUITE 108 PHOENIX, AZ 85015
- Location Phone
- (602) 242-4177
- Location Fax
- (602) 242-4022
- Mailing Address
- PO BOX 7368 ORANGE, CA 92863
- Mailing Phone
- (714) 571-5000
- Mailing Fax
- (602) 242-4022
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-19-2010
- Last Update Date
- 02-19-2010
- 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
- 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.
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
- 03D1096284
- Facility Type
- Other
- Certificate Effective Date
- March 02, 2025
- Certificate Expiration Date
- March 01, 2027
- Laboratory Director
- HOWARD J. SIMON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Simonmed Imaging - 19th Avenue 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.
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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 1811219702, 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 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 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 13 providers are registered at the same or a nearby location.
PHOENIX, AZ 85015
PHOENIX, AZ 85015
PHOENIX, AZ 85015
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811219702, enumerated as an "organization" on February 19, 2010.
The provider is located at 6707 N 19TH AVE SUITE 108 PHOENIX, AZ 85015 and the phone number is (602) 242-4177.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
