NPI 1003906868
Penrad Imaging LLC
Practice location
- Address
- 3050 N Circle Dr, Colorado Springs, CO 80909-1175
- Phone
- (719) 785-9001
- Fax
- (719) 867-7900
- Mailing address
- PO Box 2989, Colorado Springs, CO 80901-2989
Authorised official
- Name
- Derek Scott Bergeson
- Title
- Radiologist
- Phone
- (719) 593-1799
Registered specialties
Radiology Clinic/Center
Primary
Registry record
- NPI
- 1003906868
- Entity type
- Organization
- NPI issued
- 13 Oct 2006
- Record last updated
- 3 Nov 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.