Broadway Imaging Medical Center
LBN: Broadway Imaging Medical Center
Broadway Imaging Medical Center is an health care organization with primary practice located at 140 North Glendale Ave , Glendale CA 91206. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Magnetic Resonance Imaging (MRI), Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty.
Broadway Imaging Medical Center can be contacted via phone (818) 548-0022, or through Moustafa, Hosam M via phone (818) 548-0022.
Contact Information
Primary practice address
140 North Glendale Ave
Glendale CA 91206
Phone: (818) 548-0022
Fax: (818) 548-8385
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Magnetic Resonance Imaging (MRI) | 207RM1200X | A71010 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A71010 | California |
Profile Details
| NPI number | 1497708002 |
|---|---|
| LBN Legal business name | Broadway Imaging Medical Center |
| DBA Doing business as | Broadway Imaging Medical Center |
| Authorized official | Moustafa, Hosam M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Aug 12th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497708002 | NPPES |
| California | MEDICAID | 00A710100 |
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