Breastnet Screening LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

11346 Issued in AZ

Legal business name

BREASTNET SCREENING LLC

Practice address

13090 N 94TH Dr
102
Peoria, AZ 85381-4256

Phone

(623) 815-8200

Fax

(602) 765-9513

NPI assigned

Oct 11, 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

Cathy Tigges

Title

Credentialist

Phone

(602) 765-9279

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083703938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 E JANICE WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850328511",
            "telephone_number": "602-765-9279",
            "fax_number": "602-765-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13090 N 94TH DR",
            "address_2": "102",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814256",
            "telephone_number": "623-815-8200",
            "fax_number": "602-765-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREASTNET SCREENING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TIGGES",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "CREDENTIALIST",
        "authorized_official_telephone_number": "602-765-9279"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "11346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Brannon, PHARMD
• Matthew Joseph Branson
• Ryan Edward Brase, LPC
• Caridad Bravo-Fernandez, MD
• Brea Peoria, LLC (Brookdale Union Hills)
• Brenda Moorthy DO PLLC (Comprehensive Breast Surgery)
• Brenda Salguero
• Ashley Rene Brening, PHARMD
• Aubrie Brennard, MS, LASAC
• Brent R Hall DDS PC

• Diagnostic Radiology Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Diagnostic Radiology Physician in Arizona

• 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.