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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

NPI # 1841512407
LBN Legal business name SMI IMAGING, LLC
Authorized official HOWARD SIMON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/24/2010
Last updated 03/24/2011 - About 15 years ago
Identifiers
AZ License # OTC4854
AZ Medicaid 541996
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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