SMI IMAGING, LLC – NPI #1780817940
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

SMI IMAGING, LLC is a radiologist located in MESA, AZ. NPPES has assigned the NPI number 1780817940 to SMI IMAGING, LLC on September 03, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. SMI IMAGING, LLC is also known by the name SIMONMED IMAGING - FIESTA. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 16 years ago on May 07, 2010. 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 SMI IMAGING, LLC below.

NPI Profile for
SMI IMAGING, LLC

NPI Number
1780817940
Enumeration Date

(about 17 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
Other Name: SIMONMED IMAGING - FIESTA
Primary location
1457 W SOUTHERN AVE STE 26
MESA, AZ 85202-4862
Phone: (480) 306-6900 Fax: (480) 306-6910
Mailing address
PO BOX 7368
ORANGE, CA 92863-7368
Phone: (714) 571-5000 Fax: (714) 571-5055
Organization Subpart
No
Authorized Official
HOWARD SIMON
PRESIDENT
Phone: (480) 264-2400
Updated
Identifiers

Identifiers for SMI IMAGING, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRAILROAD MEDICAREP00811052
MEDICAIDAZ472452
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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
AZ OTC4689

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.