PENRAD IMAGING LLC (NPI# 1699376038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699376038 |
| Entity Type | Organization |
| Organization Name | PENRAD IMAGING LLC |
| Practice Address |
2202 N Nevada Ave Colorado Springs CO 80907-6819 |
| Mailing Address |
Po Box 2989 Colorado Springs CO 80901-2989 |
| Practice Telephone | 7195931799 |
| Practice Fax Number | 7192653794 |
| Mailing Telephone | 7195931799 |
| Mailing Fax Number | 7192653794 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Authorized Official Name | DEREK SCOTT BERGESON (RADIOLOGIST) |
| Authorized Official Telephone | 7195931799 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760962 | Penrad Imaging LLC | Clinic/Center | 6011 E Woodmen Rd Ste 10, Colorado Springs, CO 80923-2603 | 2020-11-03 |
| 1275134611 | Penrad Imaging LLC | Clinic/Center | 1263 Lake Plaza Dr Ste 100, Colorado Springs, CO 80906-3510 | 2020-11-03 |
| 1851992291 | Penrad Imaging LLC | Clinic/Center | 4105 Briargate Pkwy Ste 115, Colorado Springs, CO 80920-3482 | 2020-11-03 |
| 1730780172 | Penrad Imaging LLC | Clinic/Center | 17230 Jackson Creek Pkwy Ste 100, Monument, CO 80132-7302 | 2020-11-03 |
| 1770105900 | Penrad Imaging LLC | Clinic/Center | 4925 N Nevada Ave, Colorado Springs, CO 80918-8600 | 2020-05-11 |
| 1003906868 | Penrad Imaging LLC | Clinic/Center | 3050 N Circle Dr, Colorado Springs, CO 80909-1175 | 2006-10-13 |
| Street Address |
2202 N NEVADA AVE |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80907-6819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871124057 | Margaret Elizabeth Macnabb | Occupational Therapist | 955 West Fillmore Street, Colorado Springs, CO 80907 | 2020-01-28 |
| 1598300394 | Eric L Peterson | Counselor | 4570 Hilton Pwky, Colorado Springs, CO 80907 | 2019-11-15 |
| 1669020160 | Vcphcs Xii, LLC | Clinic/Center | 4157-4159 Centennial Blvd, Colorado Springs, CO 80907 | 2019-08-28 |
| 1366907123 | Natural Healthcare, LLC | Chiropractor | 3030 N Hancock Ave Suite D, Colorado Springs, CO 80907 | 2019-02-06 |
| 1063981777 | Samuel Ray Porterfield | Social Worker | Pfc Floyd K. Lindstrom Outpatient Clinic, 3141 Centennial Blvd., Colorado Springs, CO 80907 | 2018-11-26 |
| 1982170114 | A Physicians Home Care | Home Health | 905 W Garden of The Gods Rd Suite F, Colorado Springs, CO 80907 | 2018-10-15 |
| 1689196180 | Reena Annetta Manka | Counselor | 888 Garden of The Gods, 150, Colorado Springs, CO 80907 | 2017-07-17 |
| 1356870356 | Solaris Hc Co Inc | Hospice Care, Community Based | 1045 Garden of Gods Rd, Colorado Springs, CO 80907 | 2017-06-05 |
| 1649704826 | Colorado Springs Urological Associates Pllc | Urology | 1644 Medical Center Point, Suite 200, Colorado Springs, CO 80907 | 2017-04-14 |
| 1194274704 | Sarah Lynn Hartman | Dietitian, Registered | 3207 North Academy Blvd, Colorado, CO 80907 | 2016-09-23 |
| Find all providers in zip 80907 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760962 | Penrad Imaging LLC | Clinic/Center | 6011 E Woodmen Rd Ste 10, Colorado Springs, CO 80923-2603 | 2020-11-03 |
| 1275134611 | Penrad Imaging LLC | Clinic/Center | 1263 Lake Plaza Dr Ste 100, Colorado Springs, CO 80906-3510 | 2020-11-03 |
| 1851992291 | Penrad Imaging LLC | Clinic/Center | 4105 Briargate Pkwy Ste 115, Colorado Springs, CO 80920-3482 | 2020-11-03 |
| 1376159681 | Uchealth Imaging Services LLC | Clinic/Center | 5818 N. Nevada, Suite 100, Colorado Springs, CO 80918 | 2020-09-22 |
| 1710546932 | Uch-mhs | Clinic/Center | 2685 Dublin Blvd., Colorado Springs, CO 80918-1358 | 2019-06-11 |
| 1922343243 | Citadel Terrace Imaging, LLC | Clinic/Center | 709 Citadel Dr E, Colorado Springs, CO 80909-5302 | 2012-11-28 |
| 1063011096 | Uchealth Imaging Services LLC | Clinic/Center | 5818 N. Nevada, Suite 110, Colorado Springs, CO 80918 | 2020-10-21 |
| 1770105900 | Penrad Imaging LLC | Clinic/Center | 4925 N Nevada Ave, Colorado Springs, CO 80918-8600 | 2020-05-11 |
| 1144880675 | Uch-mhs | Clinic/Center | 1 Olympic Plz, Colorado Springs, CO 80909-5780 | 2019-06-17 |
| 1518526441 | Uch-mhs | Clinic/Center | 4190 E Woodmen Rd, Ste 240, Colorado Springs, CO 80920-8075 | 2019-06-13 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80907 |
Please comment or provide details below to improve the information on PENRAD IMAGING LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.