1083703938 NPI number — BREASTNET SCREENING LLC

Table of content: (NPI 1083703938)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083703938 NPI number — BREASTNET SCREENING LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BREASTNET SCREENING LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083703938
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4401 E JANICE WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PHOENIX
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85032-8511
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
602-765-9279
Provider Business Mailing Address Fax Number:
602-765-9513

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13090 N 94TH DR
Provider Second Line Business Practice Location Address:
102
Provider Business Practice Location Address City Name:
PEORIA
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85381-4256
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
623-815-8200
Provider Business Practice Location Address Fax Number:
602-765-9513
Provider Enumeration Date:
10/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
TIGGES
Authorized Official First Name:
CATHY
Authorized Official Middle Name:
Authorized Official Title or Position:
CREDENTIALIST
Authorized Official Telephone Number:
602-765-9279

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X , with the licence number:  11346 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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