Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Penrad Imaging LLC

Organization Diagnostic Radiology Physician · NPI 1417616624

Penrad Imaging LLC is a Diagnostic Radiology Physician in Grand Forks, North Dakota. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

274 Sandpiper Ln
Grand Forks, ND 58201-3218
Phone: (719) 593-1799
Fax: (719) 265-3794
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1417616624
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renee Ward — Ceo · (719) 265-3765
NPI enumeratedDecember 15, 2021
Last updated in NPPESDecember 15, 2021
Certification dateDecember 15, 2021
Mailing addressPo Box 2989, Colorado Springs, CO 80901-2989

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