Organization
SMI IMAGING LLC
Active
Other names
SimonMed Imaging - Metro I
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD JOHN SIMON MD (CEO)
(480) 478-6545
Entity
Organization
Contact information
Practice address
3201 W PEORIA AVE STE B301, PHOENIX, AZ 85029-4618
(602) 688-6120
Mailing address
6900 E CAMELBACK RD STE 700, SCOTTSDALE, AZ 85251-2400
(480) 306-6949
(602) 302-5706
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OTC4881
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
544632
—
AZ
Enumeration date
02/19/2010
Last updated
12/10/2020
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