SMI IMAGING, LLC (NPI# 1033342217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033342217 |
| Entity Type | Organization |
| Organization Name | SMI IMAGING, LLC |
| Other Organization Name | SIMONMED IMAGING - MESA DRIVE |
| Practice Address |
456 N Mesa Dr Mesa AZ 85201-5913 |
| Mailing Address |
Po Box 7368 Orange CA 92863-7368 |
| Practice Telephone | 4806557517 |
| Practice Fax Number | 4806687546 |
| Mailing Telephone | 7145715000 |
| Mailing Fax Number | 7145715055 |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2010-05-07 |
| Authorized Official Name | HOWARD J SIMON (PRESIDENT) |
| Authorized Official Telephone | 4802642400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
OTC4695 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 472577 | 05 | |
| RAILROAD MEDICARE | P00811052 | 01 |
| Other Name | Type Code |
|---|---|
| SimonMed Imaging - Mesa Drive | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972004489 | Smi Imaging, LLC | Radiology | 6740 E Camelback Rd Ste 100, Scottsdale, AZ 85251-2096 | 2018-02-21 |
| 1124552120 | Smi Imaging, LLC | Clinic/Center | 2502 E Camelback Rd, 160, Phoenix, AZ 85016-4254 | 2017-04-17 |
| 1255870267 | Smi Imaging, LLC | Clinic/Center | 4219 E Bell Rd, Phoenix, AZ 85032-3366 | 2017-02-23 |
| 1841512407 | Smi Imaging, LLC | Radiology | 36297 N Gantzel Road, Suite 101, Queen Creek, AZ 85240 | 2010-02-24 |
| 1932421591 | Smi Imaging, LLC | Radiology | 9125 W Thunderbird Rd, Suite 105, Peoria, AZ 85381-4920 | 2010-02-24 |
| 1437471323 | Smi Imaging, LLC | Radiology | 13838 S 46th Pl Ste 200, Phoenix, AZ 85044-7803 | 2010-02-19 |
| 1598098725 | Smi Imaging, LLC | Radiology | 1870 W Frye Rd Ste 3, Chandler, AZ 85224-6233 | 2009-09-04 |
| 1225361454 | Smi Imaging, LLC | Radiology | 1425 S Greenfield Rd Bldg 2, Suite 114, Mesa, AZ 85206-5505 | 2009-09-04 |
| 1043543275 | Smi Imaging, LLC | Radiology | 5410 W Thunderbird Rd Ste 221, Glendale, AZ 85306-4711 | 2009-09-04 |
| 1972736163 | Smi Imaging, LLC | Radiology | 9403 W Thunderbird Rd, Peoria, AZ 85381-4825 | 2009-09-03 |
| Street Address |
456 N MESA DR |
| City | MESA |
| State | AZ |
| Zip Code | 85201-5913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639133663 | Arizona Diagnostic Imaging | Clinic/Center | 456 N Mesa Dr, Mesa, AZ 85201-5913 | 2006-04-14 |
| 1629292479 | Lonestar Diagnostic | Clinic/Center | 456 N Mesa Dr, Mesa, AZ 85201-5913 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141980 | Arch Hospice, LLC. | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 | 2020-07-08 |
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1427600774 | Coleen Chatter | Counselor | 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 | 2019-07-16 |
| 1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
| 1760990329 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 | 2018-01-17 |
| 1336590025 | Horizon Health and Wellness, Inc. | Assisted Living Facility | 453 West Sunset Circle, Mesa, AZ 85201 | 2016-06-24 |
| 1356711279 | Cheryl Agosto | Registered Nurse | 1025 N. Country Club Dr, Mesa, AZ 85201 | 2015-10-05 |
| 1861877961 | Richard Roble | Speech-Language Pathologist | 125 N. Country Club Dr., Mesa, AZ 85201 | 2015-07-30 |
| 1326440991 | Demetria Harris | Counselor | 455 N. Mesa Drive #11, Mesa, AZ 85201 | 2014-09-25 |
| 1588002489 | Zhen Liu | Acupuncturist | 210n. Center St, #102, Mesa, AZ 85201 | 2013-06-13 |
| Find all providers in zip 85201 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225361454 | Smi Imaging, LLC | Radiology | 1425 S Greenfield Rd Bldg 2, Suite 114, Mesa, AZ 85206-5505 | 2009-09-04 |
| 1780817940 | Smi Imaging, LLC | Radiology | 1457 W Southern Ave Ste 26, Mesa, AZ 85202-4862 | 2009-09-03 |
| 1801029103 | Smi Imaging, LLC | Radiology | 130 S 63rd St Ste 123, Mesa, AZ 85206-1604 | 2009-09-02 |
| 1396701397 | Michelle Lee Dorsey | Radiology | 3850 E Huber St, Unit 1, Mesa, AZ 85205-3912 | 2006-04-26 |
| 1942285531 | Phoenix Diagnostic Imaging Inc | Radiology | 1111 S Dobson Rd, Mesa, AZ 85202-3902 | 2005-12-07 |
| 1306835020 | Karen B. Garby | Radiology | 1457 W Southern Ave, Suite 26, Mesa, AZ 85202-4813 | 2005-10-14 |
| 1861481731 | Monty D. Snow | Radiology | 1125 E Southern Ave, Suite 300, Mesa, AZ 85204-5045 | 2005-10-13 |
| 1609865559 | Joseph E. Wagner | Radiology | 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 | 2005-10-13 |
| 1336757699 | Arizona Diagnostic Radiology Group, LLC | Radiology | 2653 W Guadalupe Rd, Mesa, AZ 85202-7200 | 2020-07-22 |
| 1063052793 | Steward Radiology Physicians of Arizona Inc | Radiology | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2020-01-10 |
| Find all providers in MESA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.