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

Pueblo Radiology, LLC

Organization Radiology Clinic/Center · NPI 1699091934

Pueblo Radiology, LLC is a Radiology Clinic/Center in Phoenix, Arizona. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5501 N 19th Ave Ste 111
Phoenix, AZ 85015-2450
Phone: (602) 973-9800
Fax: (602) 973-9933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiology Clinic/Center (primary) Taxonomy 261QR0200X

Record details

NPI number1699091934
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWestern Arizona Radiology
Authorized official Daniel Derhaag — Manager · (602) 973-9800
Other names Canyon Medical Imaging
NPI enumeratedApril 12, 2010
Last updated in NPPESApril 12, 2010
Mailing addressPo Box 1810, Scottsdale, AZ 85252-1810

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