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SIMONMED IMAGING - SUN CITY PEORIA
NPI 1972736163
Radiology - Diagnostic Radiology in Peoria, AZ

Active since September 03, 2009CLIA 03D1098156 · Waiver
9403 W THUNDERBIRD RD, PEORIA, AZ 85381(623) 234-8700(623) 234-8710 Get Directions Write a Review

NPPES record last updated: May 10, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Simonmed Imaging - Sun City Peoria NPPES

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

SIMONMED IMAGING - SUN CITY PEORIA (NPI 1972736163) is a healthcare organization registered as a diagnostic radiology in Peoria, Arizona and active in the NPI registry since September 2009. The organization holds a CLIA Waiver certificate valid through January 9, 2027 and lists Howard J Simon, President, as its authorized official.

NPPES Registry Identity

NPI1972736163
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSMI IMAGING, LLC
Location Address9403 W THUNDERBIRD RDPeoria, AZ 85381-4825
Mailing AddressPo Box 7368Orange, CA 92863-7368 · (714) 571-5000 · Fax (714) 571-5055
Phone(623) 234-8700
Fax(623) 234-8710
Organization SubpartNo
Authorized OfficialHoward J SimonPresident · (480) 264-2400
Enumeration DateSeptember 3, 2009
Last NPPES UpdateMay 10, 2010
✔ NPI 1972736163 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 · OTC4699
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
9403 W THUNDERBIRD RD, Peoria, AZ 85381
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Other Names 1

Other NameSimonmed Imaging - Sun City Peoria

Other Identifiers 3

Medicaid477384AZ
Medicare PINZ136061AZ
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 03D1098156

Simonmed Imaging - Sun City Peoria · Peoria, AZ
Active · expires Jan 9, 2027
CLIA Number03D1098156
Laboratory TypeOther
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorHoward J. Simon, MD
Laboratory Phone(623) 234-8700
Laboratory LocationSimonmed Imaging - Sun City Peoria9403 W Thunderbird Road, Peoria, AZ 85381
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 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 1972736163. It was assigned to this organization in the NPPES registry on September 3, 2009. The provider is also known as Simonmed Imaging - Sun City Peoria.

Where is Smi Imaging, LLC located?

Smi Imaging, LLC is located at 9403 W Thunderbird Rd, Peoria, AZ 85381. The listed phone number is (623) 234-8700.

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 03D1098156) is associated with this NPI, valid through January 9, 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 10, 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.