Whalio Doctors

NPI 1003906868

Penrad Imaging LLC

Organisation Radiology Clinic/Center Colorado Springs, CO

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
Ambulatory Health Care Facilities Taxonomy 261QR0200X

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.