Banner Imaging Services LLC
NPI 1770139958ActiveOrganization· Radiology, Diagnostic Radiology· Sun City, AZ
Radiology, Diagnostic Radiology in Sun City, Arizona, registered in NPPES in August 2019, part of Banner Health. The authorized official on file is Patrick Penrose, Avp Ambulatory Services. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770139958 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Banner Health |
| NPI issued | Aug 14, 2019 |
| Last updated in NPPES | Jun 24, 2026 |
| Certified by provider | Jun 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
| Radiology, Neuroradiology, Nuclear Radiology | 2085N0904X | — | — |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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