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BANNER IMAGING SERVICES LLC
NPI 1770139958
Radiology - Diagnostic Radiology in Sun City, AZ

Active since August 14, 2019CLIA Certified · 17 labs
10474 W THUNDERBIRD BLVD STE 100, SUN CITY, AZ 85351(623) 832-5316 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 17, 2026, Aug 7, 2025, Dec 22, 2021 and 1 more (4 updates tracked since 2019).

About Banner Imaging Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BANNER IMAGING SERVICES LLC (NPI 1770139958) is a healthcare organization registered as a diagnostic radiology in Sun City, Arizona and active in the NPI registry since August 2019. The organization holds 17 active CLIA laboratory certificates, maintains 19 additional practice locations, and lists Patrick Penrose, Avp Ambulatory Services, as its authorized official.

NPPES Registry Identity

NPI1770139958
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameBANNER IMAGING SERVICES LLC
Location Address10474 W THUNDERBIRD BLVD STE 100Sun City, AZ 85351-3015
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(623) 832-5316
Organization SubpartYesParent: Banner Health
Authorized OfficialPatrick PenroseAvp Ambulatory Services · (602) 747-4000
Enumeration DateAugust 14, 2019
Last NPPES UpdateJune 24, 20264 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1770139958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X
10474 W THUNDERBIRD BLVD STE 100, Sun City, AZ 85351
Open in Google Maps ↗

Secondary Practice Locations 19

Location 17400 N Dobson Rd Ste 102Scottsdale, AZ 85256-2769 · Phone (480) 610-7400
Location 21828 E Florence Blvd Bldg B Ste 118 & 128Casa Grande, AZ 85122-4784 · Phone (480) 610-7400
Location 37701 W Aspera Blvd Ste 101Glendale, AZ 85308-7947 · Phone (480) 610-7400
Location 4665 N Gilbert Rd Ste 154Gilbert, AZ 85234-3395 · Phone (480) 610-7400
Location 55605 W Eugie Ave Ste 110Glendale, AZ 85304-1273 · Phone (480) 610-7400
Location 65601 W Eugie Ave Ste 102Glendale, AZ 85304-1256 · Phone (480) 610-7400
Location 76424 E Broadway Rd Ste 101Mesa, AZ 85206-1750 · Phone (480) 610-7400
Location 85757 W Thunderbird Rd Ste W100 & W101Glendale, AZ 85306-5612 · Phone (480) 610-7400
Location 92222 E Highland Ave Ste 106Phoenix, AZ 85016-4874 · Phone (480) 610-7400
Location 101840 E Warner Rd Ste 114Tempe, AZ 85284-3445 · Phone (480) 610-7400
Location 111800 N Civic Sq Ste 120Goodyear, AZ 85395-2390 · Phone (480) 610-7400
Location 124200 E Camelback Rd Ste 105Phoenix, AZ 85018-2718 · Phone (480) 610-7400
Location 1316641 N 40th St Ste 1Phoenix, AZ 85032-3343 · Phone (480) 610-7400
Location 1414420 W Meeker Blvd Ste A101Sun City West, AZ 85375-5286 · Phone (480) 610-7400
Location 159305 W Thomas Rd Ste 100&200Phoenix, AZ 85037-3328 · Phone (480) 610-7400
Location 161076 W Chandler Blvd Ste 120Chandler, AZ 85224-5224 · Phone (480) 610-7400
Location 1713640 N Plaza Del Rio Blvd Ste 105Peoria, AZ 85381-4846 · Phone (480) 610-7400
Location 181125 S Alma School Rd Ste 110Chandler, AZ 85286-2810 · Phone (480) 610-7400
Location 1913909 W Camino Del Sol Ste 101Sun City West, AZ 85375-1413 · Phone (480) 610-7400

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Banner Imaging Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

210

Medicare enrollment records show 210 clinicians reassign Medicare billing to Banner Imaging Services LLC, which bills Medicare for the services they deliver. Of these, 31 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Diagnostic Radiology199
Interventional Radiology9
Nuclear Medicine2

Nearest to this location (20)

See all 210
Shayna Klein, M.D.
Diagnostic Radiology
NPI 1295976538
10401 W THUNDERBIRD BLVD
Sun City, AZ 85351
(623) 832-4000
✔ PECOS✔ Accepts Medicare0.2 mi
Robert Aizenstein, MD
Diagnostic Radiology
NPI 1467460402
5605 W EUGIE AVE STE 110
Glendale, AZ 85304
(623) 847-2000
✔ PECOS✔ Accepts Medicare5.9 mi
Baharak Bagheri, MD
Diagnostic Radiology
NPI 1033379151
5605 W EUGIE AVE STE 110
Glendale, AZ 85304
(623) 847-2000
✔ PECOS✔ Accepts Medicare5.9 mi
Alicia Cartagena, MD
Diagnostic Radiology
NPI 1720066657
5605 W EUGIE AVE STE 110
Glendale, AZ 85304
(623) 847-2000
✔ PECOS✔ Accepts Medicare5.9 mi
Deven Cox, D.O
Diagnostic Radiology
NPI 1255591608
5605 W EUGIE AVE STE 110
Glendale, AZ 85304
(623) 847-2000
✔ PECOS✔ Accepts Medicare5.9 mi
Caroline Cranford, M.D.
Diagnostic Radiology
NPI 1407069586
5605 W EUGIE AVE STE 110
Glendale, AZ 85304
(623) 847-2000
✔ PECOS✔ Accepts Medicare5.9 mi
Christian Dewald, MD
Diagnostic Radiology
NPI 1336138387
5605 W EUGIE AVE STE 110
Glendale, AZ 85304
(623) 847-2000
✔ PECOS✔ Accepts Medicare5.9 mi
Patrick Fredenberg, MD
Diagnostic Radiology
NPI 1710976766
5605 W EUGIE AVE STE 110
Glendale, AZ 85304
(623) 847-2000
✔ PECOS✔ Accepts Medicare5.9 mi
Brian Frohna, MD
Diagnostic Radiology
NPI 1225027279
5605 W EUGIE AVE STE 110
Glendale, AZ 85304
(623) 847-2000
✔ PECOS✔ Accepts Medicare5.9 mi
Threasa Frouge, MD
Diagnostic Radiology
NPI 1598754558
5605 W EUGIE AVE STE 110
Glendale, AZ 85304
(623) 847-2000
✔ PECOS✔ Accepts Medicare5.9 mi
Aaron Greeley, DO
Diagnostic Radiology
NPI 1225096464
5605 W EUGIE AVE STE 110
Glendale, AZ 85304
(623) 847-2000
✔ PECOS✔ Accepts Medicare5.9 mi
Michael Hanelin, M.D.
Diagnostic Radiology
NPI 1891726436
5605 W EUGIE AVE STE 110
Glendale, AZ 85304
(623) 847-2000
✔ PECOS✔ Accepts Medicare5.9 mi
Gordon Haugland, M.D.
Diagnostic Radiology
NPI 1508834466
5605 W EUGIE AVE STE 110
Glendale, AZ 85304
(623) 847-2000
✔ PECOS✔ Accepts Medicare5.9 mi
Mohammad Khan, M.D.
Diagnostic Radiology
NPI 1861679441
5605 W EUGIE AVE STE 110
Glendale, AZ 85304
(623) 847-2000
✔ PECOS✔ Accepts Medicare5.9 mi
George Leon, MD
Interventional Radiology
NPI 1417928276
5605 W EUGIE AVE STE 110
Glendale, AZ 85304
(623) 847-2000
✔ PECOS✔ Accepts Medicare5.9 mi
John Lin, MD
Diagnostic Radiology
NPI 1972593929
5605 W EUGIE AVE STE 110
Glendale, AZ 85304
(623) 847-2000
✔ PECOS✔ Accepts Medicare5.9 mi
Bilal Mian, MD
Diagnostic Radiology
NPI 1679563647
5605 W EUGIE AVE STE 110
Glendale, AZ 85304
(623) 847-2000
✔ PECOS✔ Accepts Medicare5.9 mi
Andrew Ondracek, MD
Diagnostic Radiology
NPI 1528057585
5605 W EUGIE AVE STE 110
Glendale, AZ 85304
(623) 847-2000
✔ PECOS✔ Accepts Medicare5.9 mi
Eduardo Quinones, MD
Diagnostic Radiology
NPI 1376797084
5605 W EUGIE AVE STE 110
Glendale, AZ 85304
(623) 847-2000
✔ PECOS5.9 mi
Zifa Wang, M.D.
Interventional Radiology
NPI 1053389635
5605 W EUGIE AVE STE 110
Glendale, AZ 85304
(623) 847-2000
✔ PECOS✔ Accepts Medicare5.9 mi
See all 210 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 17

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2183165

Banner Imaging Services LLC · Peoria, AZ
Active · expires Apr 29, 2028
CLIA Number03D2183165
Laboratory TypeRadiology Center
Certificate Effective DateApril 30, 2026
Certificate Expiration DateApril 29, 2028
Laboratory DirectorMohammed Khan
Laboratory Phone(480) 610-7400
Laboratory LocationBanner Imaging Services LLC13640 N Plaza Del Rio Blvd Ste 105, Peoria, AZ 85381
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2326800

Banner Imaging Services LLC · Goodyear, AZ
Active · expires Jul 9, 2027
CLIA Number03D2326800
Laboratory TypePhysician Office
Certificate Effective DateJuly 10, 2025
Certificate Expiration DateJuly 9, 2027
Laboratory DirectorMohammed Khan
Laboratory Phone(480) 610-7400
Laboratory LocationBanner Imaging Services LLC1800 N Civic Sq Ste 120, Goodyear, AZ 85395
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D1093535

Banner Imaging Services LLC · Sun City, AZ
Active · expires Dec 21, 2026
CLIA Number03D1093535
Laboratory TypeOther
Certificate Effective DateDecember 22, 2024
Certificate Expiration DateDecember 21, 2026
Laboratory DirectorGordon Haugland
Laboratory Phone(623) 832-5316
Laboratory LocationBanner Imaging Services LLC10474 W Thunderbird Blvd, Ste 100, Sun City, AZ 85351
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D1087615

Banner Imaging Services LLC · Glendale, AZ
Active · expires Aug 6, 2028
CLIA Number03D1087615
Laboratory TypePhysician Office
Certificate Effective DateAugust 7, 2026
Certificate Expiration DateAugust 6, 2028
Laboratory DirectorMohammed Khan
Laboratory Phone(623) 842-5643
Laboratory LocationBanner Imaging Services LLC5605 W Eugie Ave Ste 110, Glendale, AZ 85304
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2175198

Banner Imaging Services LLC · Sun City West, AZ
Active · expires Nov 17, 2027
CLIA Number03D2175198
Laboratory TypePhysician Office
Certificate Effective DateNovember 18, 2025
Certificate Expiration DateNovember 17, 2027
Laboratory DirectorBradley Mullen
Laboratory Phone(623) 524-4016
Laboratory LocationBanner Imaging Services LLC14420 W Meeker Blvd Ste A101, Sun City West, AZ 85375
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2240627

Banner Imaging · Chandler, AZ
Active · expires Oct 19, 2027
CLIA Number03D2240627
Laboratory TypeImaging Center
Certificate Effective DateOctober 20, 2025
Certificate Expiration DateOctober 19, 2027
Laboratory DirectorThreasa H. Frouge
Laboratory Phone(480) 610-7805
Laboratory LocationBanner Imaging1125 S Alma School Rd Ste 110, Chandler, AZ 85286
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Banner Imaging Services LLC's NPI number?

The NPI number for Banner Imaging Services LLC is 1770139958. It was assigned to this organization in the NPPES registry on August 14, 2019.

Where is Banner Imaging Services LLC located?

Banner Imaging Services LLC is located at 10474 W Thunderbird Blvd Ste 100, Sun City, AZ 85351. The listed phone number is (623) 832-5316.

What is Banner Imaging Services LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Banner Imaging Services LLC enrolled in Medicare?

Yes. Banner Imaging Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Banner Imaging Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 210 clinicians in 3 Medicare specialties reassign their Medicare billing to Banner Imaging Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (199), Interventional Radiology (9) and Nuclear Medicine (2). Of these, 31 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Banner Imaging Services LLC hold CLIA laboratory certificates?

Yes. 17 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Banner Imaging Services LLC accept?

Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc. and UnitedHealthcare list Banner Imaging Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Banner Imaging Services LLC was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.