The print has thin walls (generally just 2 perimeters), PLA, and ample cooling.
Defects are NOT related to issues with Z axes, I tested that on a second (completely different) printer with exactly the same results.
It seems to be some Simplify3d setting I'm missing somewhere on both printers.
I'm okay with "stitches" where extrusion starts, but it almost looks like some layers are bigger than others from reason. Typically when there is a structure inside, but not always (that's the confusing part).
The bottom is great, the top is great, and the middle looks like shit.
I used directional lighting to exaggerate the issue.
Thanks for the tips.