BROADWAY MAMMOGRAPHY LLC NPI 1457088783

NPI Information

NPI: 1457088783
Provider Name: BROADWAY MAMMOGRAPHY, LLC
Classification: Clinic/Center - 261QR0206X
Entity Type: Organization

Specialization: Radiology, Mammography

Address:
231 W VERNON AVE STE 106
LOS ANGELES, CA
ZIP 90037
Phone: (323) 991-4009
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BROADWAY MAMMOGRAPHY, LLC is a radiology and mammography clinic center in Los Angeles, CA. BROADWAY MAMMOGRAPHY, LLC NPI is 1457088783. The provider is registered as an organization entity type.

The provider's business location address is:

231 W VERNON AVE STE 106
LOS ANGELES, CA
ZIP 90037-778
Phone: (323) 991-4009
Fax: (323) 991-4006

The provider's authorized official is Gene Eason .
The authorized official title is Administrator and has the following contact phone number (323) 991-4009.

The enumeration date for this NPI number is 8/5/2022 and was last updated on 8/5/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0206X	Clinic/Center	Radiology, Mammography			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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