OrganizationActive
Pueblo Radiology, LLC
NPI 1699091934 · Radiology Clinic/Center · Phoenix, AZ
Pueblo Radiology, LLC is a Radiology Clinic/Center organization in Phoenix, AZ (NPI 1699091934).
Provider details
- NPI number
- 1699091934
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Western Arizona Radiology
- Organization subpart
- Yes
- Authorized official
- Daniel Derhaag, Manager(602) 973-9800
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5501 N 19th Ave
Suite 111
Phoenix, AZ 85015-2450
Phone: (602) 973-9800
Fax: (602) 973-9933
Street-level locationGet directions
Mailing address
Po Box 1810
Scottsdale, AZ 85252-1810
Other names (DBA / former)
- Doing business as
- Canyon Medical Imaging
Registry dates
- Enumerated
- 2010-04-12
- Last updated
- 2010-04-12
Frequently asked questions
- What is Pueblo Radiology, LLC's NPI number?
- Pueblo Radiology, LLC's National Provider Identifier (NPI) is 1699091934, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pueblo Radiology, LLC?
- Pueblo Radiology, LLC is classified in the NPPES registry as Radiology Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pueblo Radiology, LLC located?
- Pueblo Radiology, LLC's practice location on file with NPPES is 5501 N 19th Ave, Phoenix, AZ 85015-2450.
- What is Pueblo Radiology, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pueblo Radiology, LLC is (602) 973-9800.
- Who is the authorized official for Pueblo Radiology, LLC?
- The authorized official listed on Pueblo Radiology, LLC's NPPES record is Daniel Derhaag, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pueblo Radiology, LLC's NPI active?
- Yes — Pueblo Radiology, LLC's NPI (1699091934) is active in the NPPES registry as of the last update on 2010-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.