Broadway Imaging Medical Center in Glendale - Magnetic Resonance Imaging (mri)

Broadway Imaging Medical Center - NPI 1497708002

Broadway Imaging Medical Center is a Magnetic Resonance Imaging (mri) in Glendale, California. Broadway Imaging Medical Center practices all healthcare services and medical treatments related to Magnetic Resonance Imaging (mri). The NPI Number for Broadway Imaging Medical Center is 1497708002. The last update date is 2018-08-12.

Broadway Imaging Medical Center's current location address is 140 North Glendale Ave, Glendale, California. You can contact this provider via phone number 8185480022 and fax number 8185488385. The mailing address for Broadway Imaging Medical Center is 140 North Glendale Ave, Glendale, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Broadway Imaging Medical Center
Address 140 North Glendale Ave, Glendale, California
Phone Number 8185480022
Fax Number 8185488385
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Moustafa M Hosam
Credentials MD
Telephone Number 8185480022

NPI Number Detail

NPI Number 1497708002
Provider Enumeration Date 2006-05-18
Last Updated Date 2018-08-12

Provider Mailing Address Detail

Address 140 North Glendale Ave
City Glendale
State California (CA)
Post Code 91206
Phone Number 8185480022
Fax Number 8185488385

Provider's Primary Taxonomy Detail

Speciality Magnetic Resonance Imaging (mri)
Taxonomy 207Rm1200X
Licence No A71010
Definition:
The NUCC recommends this code not be used. Choose a more appropriate code.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A710100 CA --

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FAQs about Broadway Imaging Medical Center

What is the unique 10-digit identifier code assigned to Broadway Imaging Medical Center by the Centers for Medicare & Medicaid Services?

The Broadway Imaging Medical Center has been issued the NPI (National Provider Identifier) 1497708002 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Broadway Imaging Medical Center's physical address?

The Broadway Imaging Medical Center is physically located at 140 North Glendale Ave, in the city of Glendale, CA, with the postal code 91206.

What is the area of specialization for Broadway Imaging Medical Center, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Broadway Imaging Medical Center is Magnetic Resonance Imaging (mri), and the corresponding taxonomy code that categorizes this area of expertise is 207Rm1200X.

On what date did Broadway Imaging Medical Center receive its 1497708002 assignment from the Centers for Medicare & Medicaid Services?

The Broadway Imaging Medical Center was assigned its 1497708002 on 2006-05-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Broadway Imaging Medical Center's details last updated?

The information pertaining to the Broadway Imaging Medical Center, including its address, specialty, and other details, was most recently updated on 2018-08-12.

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