Organization
BANNER IMAGING SERVICES COLORADO LLC
Active
Organization
BANNER IMAGING SERVICES COLORADO LLC
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
PATRICK PENROSE (AVP AMBULATORY SERVICES)
(602) 839-2000
Entity
Organization
Contact information
Practice address
1900 BOISE AVE STE 110, LOVELAND, CO 80538-5004
(970) 820-6518
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
03/16/2020
Last updated
04/16/2026
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