Smi Imaging, LLC
Simonmed Imaging - Fiesta · Radiology (Diagnostic Radiology)

Address: 1457 W Southern Ave Ste 26, Mesa, AZ 85202-4862
Phone: 4803066900

Smi Imaging, LLC (NPI# 1780817940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1780817940
Entity Type Organization
Organization Name SMI IMAGING, LLC
Other Organization Name SIMONMED IMAGING - FIESTA
Practice Address 1457 W Southern Ave Ste 26
Mesa
AZ 85202-4862
Practice Telephone 4803066900
Practice Fax Number 4803066910
Mailing Address Po Box 7368
Orange
CA 92863-7368
Mailing Telephone 7145715000
Mailing Fax Number 7145715055
Authorized Official Name Howard J Simon (PRESIDENT)
Authorized Official Telephone 4802642400
Authorized Official Credential M.D.
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2009-09-03
Last Update Date 2010-05-07

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2085R0202X Radiology · Diagnostic Radiology Allopathic & Osteopathic Physicians OTC4689 AZ

Other Provider Identifier

State Identifier Issuer Type Code
P00811052 OTHER RAILROAD MEDICARE
AZ 472452 MEDICAID

Other Provider/Organization Names

Other Name Type Code
SimonMed Imaging - Fiesta Other Name - Individual/Organization

Providers with the same name

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 Radiology 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
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
1992938153 Smi Imaging, LLC Radiology 235 S Dobson Rd Bldg L, Chandler, AZ 85224-6229 2009-09-03
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346846870 Smi Imaging LLC Radiology 5424 E Southern Ave Ste 104, Mesa, AZ 85206-3621 2020-12-09
1104422039 Smi Imaging LLC Radiology 1345 E Mckellips Rd Ste 106, Mesa, AZ 85203-2721 2020-12-07
1174148845 Therma-scan Reference Laboratory, LLC Radiology 6239 E Brown Rd Ste 101, Mesa, AZ 85205-4933 2020-06-09
1225361454 Smi Imaging, LLC Radiology 1425 S Greenfield Rd Bldg 2, Suite 114, Mesa, AZ 85206-5505 2009-09-04
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
Find all providers in MESA

Office Location

Street Address 1457 W SOUTHERN AVE STE 26
City MESA
State AZ
Zip Code 85202-4862

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003254897 Lisa Dennis Radiology Practitioner Assistant 1457 W Southern Ave Ste 26, Mesa, AZ 85202-4862 2013-06-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275173536 Samuel A Wolde Counselor Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 2020-01-14
1912549171 Lauren Barbara Loges Occupational Therapist 2225 E. Southern Avenue, Mesa, AZ 85202 2019-10-09
1245724822 Medsource Orthotics & Prosthetics, Inc Prosthetic/Orthotic Supplier 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 2018-06-18
1457843310 Jay Douglas Baumgardner Physical Therapist 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 2018-06-05
1144746215 Alyson Fix Physician Assistant 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 2017-08-20
1194108852 Robert Dale Labrum Counselor 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 2015-06-30
1114325677 John David Shull Jr. Physician Assistant 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 2014-12-16
1316356207 Embry Womens Health LLC Nurse Practitioner 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 2014-08-05
1619312899 Fiza Naueed Khan Internal Medicine 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 2013-05-01
1487903373 Jodi Lynn Mealer Pharmacist 1951 W. Baseline Rd., Mesa, AZ 85202 2012-09-06
Find all providers in zip 85202

Competitor

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City MESA
Zip Code 85202

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Dataset Information

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.