Broadway Radiology, Inc.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

BROADWAY RADIOLOGY, INC.

Practice address

231 W Vernon Ave Ste 111
Los Angeles, CA 90037-2778

Phone

(323) 231-5044

Fax

(323) 231-5362

NPI assigned

Apr 28, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Alvaro Cerda

Title

Chief Executive Officer

Phone

(323) 231-5044

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1851682595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 W VERNON AVE STE 111",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900372778",
            "telephone_number": "323-231-5044",
            "fax_number": "323-231-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W VERNON AVE STE 111",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900372778",
            "telephone_number": "323-231-5044",
            "fax_number": "323-231-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY RADIOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "CERDA",
        "authorized_official_first_name": "ALVARO",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "323-231-5044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Broadwater Sunray Care Center, LLC
• Broadway Mammography, LLC
• Broadway Medical Supply
• Rosita Louise Broaster-Lotiff, MA
• Adela Brock
• Amina Brock
• Melissa Marie Brock
• Natasha Noelle Brock, ASW

• Radiology Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; 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.