Organization
SMI IMAGING, LLC
Active
Other names
SimonMed Imaging - Spectrum
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD J SIMON M.D. (PRESIDENT)
(480) 264-2400
Entity
Organization
Contact information
Practice address
2680 S VAL VISTA DR BLDG 7, SUITE 135, GILBERT, AZ 85295-2152
(480) 584-4900
(480) 584-4910
Mailing address
PO BOX 7368, ORANGE, CA 92863-7368
(714) 571-5000
(714) 571-5055
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OTC4698
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
473154
—
AZ
01
—
P00811052
RAILROAD MEDICARE
—
Enumeration date
09/03/2009
Last updated
06/09/2010
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