Organization
MAMMOGRAPHY PARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN KANEWSKE (DIR. PT ACCT.)
(469) 398-4114
Entity
Organization
Contact information
Practice address
18001 N 79TH AVE, #C54, GLENDALE, AZ 85308-8388
(623) 773-3260
Mailing address
8401 JACK FINNEY BLVD, GREENVILLE, TX 75402-3017
(800) 945-2455
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
391957
—
AZ
Enumeration date
10/21/2008
Last updated
08/23/2010
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