MEDICARE: BANNER IMAGING SERVICES COLORADO LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2085N0904X	Nuclear Radiology Physician
2	2085R0204X	Vascular & Interventional Radiology Physician
3	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1326674979
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BANNER IMAGING SERVICES COLORADO LLC

Provider Business Mailing Address
First Line	:	2901 N CENTRAL AVE STE 160
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85012-2702
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 BOISE AVE STE 110
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-5004
Country	:	US
Telephone Number	:	970-820-6518
Fax Number	:

Authorized Official
Title or Position	:	AVP AMBULATORY SERVICES
Name	:	PATRICK PENROSE
Credential	:
Telephone Number	:	602-839-2000

Provider Enumeration Date	:	03/16/2020
Last Update Date	:	04/16/2026

Similar Medicare Providers

1073877304 — BANNER HEALTH PHYSICIANS COLORADO LLC
Practice Location Address:

1900 BOISE AVE STE 420
LOVELAND, CO
80538-5004

Practice Phone: 970-669-3212
Practice Fax: 970-669-6162

1285998526 — BANNER HEALTH PHYSICIANS COLORADO LLC
Practice Location Address:

1900 BOISE AVE STE 410
LOVELAND, CO
80538-5004

Practice Phone: 970-667-2009
Practice Fax: 970-667-2103

1356696199 — BANNER HEALTH PHYSICIANS COLORADO LLC
Practice Location Address:

1900 BOISE AVE STE 200
LOVELAND, CO
80538-5004

Practice Phone: 970-203-2120
Practice Fax: 970-203-2125

1508861832 — THOMAS LEE ENGLERT MD
Practice Location Address:

1900 BOISE AVE , STE 410
LOVELAND, CO
80538-5004

Practice Phone: 970-667-2009
Practice Fax: 970-667-2103

1336120476 — LINDA LEIGH DAVIDSON CNM
Practice Location Address:

1900 BOISE AVE , SUITE 240
LOVELAND, CO
80538-5004

Practice Phone: 970-493-1865
Practice Fax: 970-493-1586

1811978281 — JOHN T CRANE MD
Practice Location Address:

1900 BOISE AVE STE 410
LOVELAND, CO
80538-5004

Practice Phone: 970-820-2610
Practice Fax: 970-820-2611

Directions to “BANNER IMAGING SERVICES COLORADO LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.