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Organization

SMI IMAGING, LLC

Active
Parent organization
SIMONMED IMAGING, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SIMONMED IMAGING, INC
Authorized official
TRACY PRINCE (PHYSICIANS ONBOARDING MANAGER)
(602) 651-1945
Entity
Organization

Contact information

Practice address
10440 E RIGGS RD, 120 & 110, SUN LAKES, AZ 85248-7751
(480) 883-6860
(602) 302-5862
Mailing address
6900 E CAMELBACK RD, SUITE # 700, SCOTTSDALE, AZ 85251-2431
(602) 651-1945

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
03D2114227
AZ

Other

Enumeration date
02/14/2017
Last updated
02/14/2017
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