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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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