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1275134611
PENRAD IMAGING LLC
COLORADO SPRINGS, CO
NPI
1275134611
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Entity Type
Organization
Authorized Contact
DEREK SCOTT BERGESON
Radiologist
719-593-1799
Organization Subpart ?
No
Primary Taxonomy
261QR0200X Clinic/Center, Radiology
Enumeration Date
2020-11-03
Last Update Date
2020-11-03
Business Address
PENRAD IMAGING LLC
1263 LAKE PLAZA DR STE 100
COLORADO SPRINGS, CO 80906-3510
Phone number: 719-593-1799
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Mailing Address
PENRAD IMAGING LLC
PO BOX 2989
COLORADO SPRINGS, CO 80901-2989
Phone number: 719-593-1799
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