IndividualActive
Tyanna Blake, R.T.(R)
NPI 1881499226 · Radiologic Technologist · Phoenix, AZ
Provider details
- NPI number
- 1881499226
- Entity type
- Individual
- Primary specialty
- Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- R.T.(R)
- Sex
- Female
- Sole proprietor
- No
- License
- CRT0000104107 (AZ)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
650 E Indian School Rd # Rf
Phoenix, AZ 85012-1839
Phone: (602) 277-5551
Approximate (ZIP-level) locationGet directions
Mailing address
10010 N 50th Ave
Glendale, AZ 85302-2419
Registry dates
- Enumerated
- 2025-02-18
- Last updated
- 2025-02-18
- Certified
- 2025-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.