Organization Name: | SMI IMAGING, LLC |
NPI Number: | 1124340013 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HOWARD J SIMON (PRESIDENT) |
Mailing Address: | 3033 N Windsong Dr Suite 102 Prescott Valley |
State: | AZ US |
Postal Code: | 863142290 |
Phone Number: | 9287725250 |
Fax Number: | 9287755728 |
NPI Enumeration Date: | 02/19/2010 |
NPI Last Update Date: | 03/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | OTC4919 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |