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CANYON MEDICAL IMAGING
NPI 1699091934
Clinic/Center - Radiology in Phoenix, AZ

Active since April 12, 2010
5501 N 19TH AVE, SUITE 111, PHOENIX, AZ 85015(602) 973-9800(602) 973-9933 Get Directions Write a Review

NPPES record last updated: April 12, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Canyon Medical Imaging NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANYON MEDICAL IMAGING (NPI 1699091934) is a healthcare organization registered as a radiology in Phoenix, Arizona and active in the NPI registry since April 2010. The organization lists Daniel Alan Derhaag, Manager, as its authorized official.

NPPES Registry Identity

NPI1699091934
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NamePUEBLO RADIOLOGY, LLC
Location Address5501 N 19TH AVE, SUITE 111Phoenix, AZ 85015-2450
Mailing AddressPo Box 1810Scottsdale, AZ 85252-1810 · (602) 973-9800 · Fax (602) 973-9933
Phone(602) 973-9800
Fax(602) 973-9933
Organization SubpartYesParent: Western Arizona Radiology
Authorized OfficialDaniel Alan DerhaagManager · (602) 973-9800
Enumeration DateApril 12, 2010
✔ NPI 1699091934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
5501 N 19TH AVE, Phoenix, AZ 85015
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Other Names 1

Doing Business AsCanyon Medical Imaging

Other Identifiers 2

Medicare UPINZ79512AZ
Medicaid863979AZ

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOUGLAS WAYNE KELLY M.D.
Orthopaedic Surgery (Sports Medicine)
5501 N 19TH AVE, 432
PHOENIX, AZ 85015
Maricopa County (602) 242-7691
CARE GIVERS OF ARIZONA, INC.
Registered Nurse (Home Health)
5501 N 19TH AVE
PHOENIX, AZ 85015
Maricopa County (602) 277-4142
SALUBRIOUS HEALTH CARE PC
Family Medicine
5501 N 19TH AVE, 218
PHOENIX, AZ 85015
Maricopa County (602) 242-1221
LORENZO SUMMERS II
Behavior Technician
5501 N 19TH AVE
PHOENIX, AZ 85015
Maricopa County (480) 219-5769
DOUGLAS W KELLY MD PC
Orthopaedic Surgery
5501 N 19TH AVE, SUITE 432
PHOENIX, AZ 85015
Maricopa County (602) 242-7691
APEX INTEGRATED CARE PLLC
Family Medicine
5501 N 19TH AVE, STE 103
PHOENIX, AZ 85015
Maricopa County (602) 589-0500
VICTOR TSENG, MD, PC
Orthopaedic Surgery (Hand Surgery)
5501 N 19TH AVE, STE 331
PHOENIX, AZ 85015
Maricopa County (602) 242-7796
DESERT ORTHOPAEDICS & REHABILITATION, PC
Orthopaedic Surgery
5501 N 19TH AVE, STE 331
PHOENIX, AZ 85015
Maricopa County (602) 242-7796

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pueblo Radiology, LLC's NPI number?

The NPI number for Pueblo Radiology, LLC is 1699091934. It was assigned to this organization in the NPPES registry on April 12, 2010. The provider is doing business as Canyon Medical Imaging.

Where is Pueblo Radiology, LLC located?

Pueblo Radiology, LLC is located at 5501 N 19th Ave Suite 111, Phoenix, AZ 85015. The listed phone number is (602) 973-9800.

What is Pueblo Radiology, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

When was this NPI record last updated?

The NPPES record for Pueblo Radiology, LLC was last updated on April 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.