PENRAD IMAGING LLC


Address: 17230 Jackson Creek Pkwy Ste 100, Monument, CO 80132-7302
Phone: 7195931799

PENRAD IMAGING LLC (NPI# 1730780172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730780172
Entity Type Organization
Organization Name PENRAD IMAGING LLC
Practice Address 17230 Jackson Creek Pkwy Ste 100
Monument
CO 80132-7302
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1699376038 Penrad Imaging LLC Clinic/Center 2202 N Nevada Ave, Colorado Springs, CO 80907-6819 2020-11-03
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
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

Office Location

Street Address 17230 JACKSON CREEK PKWY STE 100
City MONUMENT
State CO
Zip Code 80132-7302

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407314131 100 Percent Chiropractic Rodgers LLC Chiropractor 1495 Cipriani Loop, Monument, CO 80132 2019-03-12
1417421025 Jackson Creek Assisted Living, LLC Assisted Living Facility 16601 Jackson Creek Parkway, Monument, CO 80132 2019-01-16
1609357144 Baptist Road Dental Dentist 1036 Baptist Road, Monument, CO 80132 2018-08-23
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1528553070 Comfort Dental Oral Surgery Colorado Springs LLC Dentist 556 W. Hwy 105, Monument, CO 80132 2018-06-27
1265926844 Lauren Elizabeth Nasuti Massage Therapist 17232 Jackson Creek Pkwy, #300, Monument, CO 80132 2018-06-18
1578079224 Courtney Hopkins Behavior Technician 590 Hwy 105 Suite 105, Monument, CO 80132 2017-12-18
1033623475 Deborah Tebault Counselor 220 N. Washington St., Suite F, Monument, CO 80132 2017-11-21
1902347578 Monument Dentists and Orthodontics, LLP Dentist 950 W Baptist Road, Suite 100, Monument, CO 80132 2017-03-16
1972909463 Timothy P O'connor Counselor 3065 Mt. Herman Rd., Monument, CO 80132 2014-11-10
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1699376038 Penrad Imaging LLC Clinic/Center 2202 N Nevada Ave, Colorado Springs, CO 80907-6819 2020-11-03
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
1457967838 Yampa Valley Medical Center Clinic/Center 1100 Central Park Dr Ste 1100, Steamboat Springs, CO 80487-8818 2020-09-21
1629614904 Hca-healthone, LLC Clinic/Center 400 Indiana St Ste 210, Golden, CO 80401-5044 2019-11-21
1609412980 Hca-healthone, LLC Clinic/Center 14100 E Arapahoe Rd Ste 120, Centennial, CO 80112-4028 2019-11-21
1558918599 Aspen Valley Hospital Clinics, Pllc Clinic/Center 1450 E Valley Rd Unit 201, Basalt, CO 81621-8352 2019-08-23
1902466840 University of Colorado Hospital Authority Clinic/Center 2000 S Colorado Blvd Ste 1200, Denver, CO 80222-7900 2019-06-13
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Competitor

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City MONUMENT
Zip Code 80132

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Dataset Information

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.

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