Penrad Imaging Llc

LBN: Penrad Imaging Llc
Penrad Imaging Llc is an health care organization with primary practice located at 3050 N Circle Dr , Colorado Springs CO 80909-1175. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Penrad Imaging Llc can be contacted via phone (719) 785-9001, or through Bergeson, Derek Scott via phone (719) 593-1799.

Contact Information

Primary practice address
3050 N Circle Dr Colorado Springs CO 80909-1175
Phone: (719) 785-9001
Fax: (719) 867-7900
Website:
Map and Directions
Authorized official contact:
Name: Bergeson, Derek Scott Doctor of Medicine (MD)
Phone: (719) 593-1799

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1003906868
LBN Legal business name Penrad Imaging Llc
DBA Doing business as
Authorized official Bergeson, Derek Scott Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2006
Last updated Nov 3rd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003906868 NPPES
Colorado MEDICAID 04143046

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