19TH AVE WOMEN'S CENTER – NPI #1033596770
Clinic/Center

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19TH AVE WOMEN'S CENTER is an AHC clinic located in PHOENIX, AZ. NPPES has assigned the NPI number 1033596770 to 19TH AVE WOMEN'S CENTER on May 01, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “19TH AVE WOMEN'S CENTER” is a dba name, the actual legal business name for this organization is SMI IMAGING, LLC. The primary taxonomy selected by this provider is 261QR0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Radiology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 19TH AVE WOMEN'S CENTER below.

NPI Profile for
SMI IMAGING, LLC

NPI Number

1033596770

Enumeration Date

May 01, 2015
(more than 11 years ago)

Entity Type

Type-2 Organization

Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.

Legal Name

SMI IMAGING, LLC

Doing Business As (dba): 19TH AVE WOMEN'S CENTER

Primary location

6707 N 19TH AVE
SUITE 101
PHOENIX, AZ 85015-1104

Phone: (602) 242-4177 Fax: (602) 242-4022

Mailing address

6900 E CAMELBACK RD
SUITE # 101
SCOTTSDALE, AZ 85251-2431

Phone: (602) 651-1945 Fax: (602) 302-5706

Organization Subpart

Authorized Official

HOWARD SIMON
CEO
Phone: (602) 242-4177

Updated

May 01, 2015

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization	State	License
261QR0200X - Clinic/Center / Radiology (Primary)	AZ

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.