CANYON MEDICAL IMAGING
NPI 1699091934
Clinic/Center - Radiology in Phoenix, AZ
- Organization
- Clinic/Center
- Radiology
About CANYON MEDICAL IMAGING
This page provides the complete NPI Profile along with additional information for Canyon Medical Imaging, a provider established in Phoenix, Arizona operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1699091934 assigned on April 2010. The practitioner's primary taxonomy code is 261QR0200X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Canyon Medical Imaging. The authorized official of this NPI record is Mr. Daniel Alan Derhaag (Manager)
- NPI
- 1699091934 Verify this NPI
- Provider Legal Name
- PUEBLO RADIOLOGY, LLC
- Other Organization Name
- CANYON MEDICAL IMAGING
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 5501 N 19TH AVE SUITE 111 PHOENIX, AZ 85015
- Location Phone
- (602) 973-9800
- Location Fax
- (602) 973-9933
- Mailing Address
- PO BOX 1810 SCOTTSDALE, AZ 85252
- Mailing Phone
- (602) 973-9800
- Mailing Fax
- (602) 973-9933
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-12-2010
- Last Update Date
- 04-12-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Radiology
- Taxonomy Code
- 261QR0200X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| Z79512 | MEDICARE UPIN (02) | AZ | |
| 863979 | MEDICAID (05) | AZ |
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Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
PHOENIX, AZ 85015
PHOENIX, AZ 85015
PHOENIX, AZ 85015
PHOENIX, AZ 85015
PHOENIX, AZ 85015
PHOENIX, AZ 85015
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699091934, enumerated as an "organization" on April 12, 2010.
The provider is located at 5501 N 19TH AVE SUITE 111 PHOENIX, AZ 85015 and the phone number is (602) 973-9800.
Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
