Organization
BROADWAY MAMMOGRAPHY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENE EASON (ADMINISTRATOR)
(323) 991-4009
Entity
Organization
Contact information
Practice address
231 W VERNON AVE STE 106, LOS ANGELES, CA 90037-2778
(323) 991-4009
(323) 991-4006
Mailing address
231 W VERNON AVE STE 106, LOS ANGELES, CA 90037-2778
(323) 991-4009
(323) 991-4006
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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