Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grand Canyon Medical Imaging LLC

Organization Specialist · NPI 1629109095

Grand Canyon Medical Imaging LLC is a Specialist in Kingman, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3269 Stockton Hill Rd
Kingman, AZ 86401-3619
Phone: (928) 757-0620
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (AZ)

Record details

NPI number1629109095
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Burge — Managing Partner · (714) 754-5800
NPI enumeratedMarch 8, 2007
Last updated in NPPESJuly 12, 2007
Mailing addressPo Box 73878, San Clemente, CA 92673-0130

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