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Contact Information

SMI IMAGING, LLC
36297 N GANTZEL ROAD
SUITE 101
QUEEN CREEK, AZ85240
 Phone: 480-987-5638
 Fax: 480-987-8016
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for SMI IMAGING LLC · (Female)

NPI Number 1841512407
Status Active
Credentials
Entity Individual
Enumeration date 02/24/2010
Last updated 03/24/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ License # OTC4854
  • AZ Medicaid 541996
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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