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1770105900
PENRAD IMAGING LLC
COLORADO SPRINGS, CO
NPI
1770105900
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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
2020-05-11
Last Update Date
2020-05-11
Business Address
PENRAD IMAGING LLC
4925 N NEVADA AVE
COLORADO SPRINGS, CO 80918-8600
Phone number: 719-593-1799
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Mailing Address
PENRAD IMAGING LLC
1390 KELLY JOHNSON BLVD
COLORADO SPRINGS, CO 80920-3908
Phone number: 719-593-1799
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