Breast Diagnostics, LLC

Primary specialty

Mammography Clinic/CenterTaxonomy code 261QR0206X

Legal business name

BREAST DIAGNOSTICS, LLC

Practice address

4204 Houma Blvd
Metairie, LA 70006-2903

Phone

(504) 883-8995

Fax

(504) 883-8996

NPI assigned

Apr 18, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Stein III, MD

Title

Director

Phone

(504) 342-4708

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073578787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 POYDRAS ST",
            "address_2": "SUITE 1850",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121221",
            "telephone_number": "504-342-4708",
            "fax_number": "504-679-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 HOUMA BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062903",
            "telephone_number": "504-883-8995",
            "fax_number": "504-883-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "504-342-4708",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Michael Braud Jr., L.AC.
• Matthew Braud, NP
• Sandra Braxton
• Lynn K Brayton, PSYD
• Sean Brazeel, AUD
• Cheryl Ann Breaud, CERTIFIED NUTRITIONI
• Barry James Breaux, MD
• Helene Waltzer Breaux, LCSW, BACS
• Jena Breaux, LBA
• Kristin Germaine Breaux, FNP

• Mammography Clinic/Center in Metairie, LA
• Providers in Metairie, LA by specialty
• Mammography Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.