| Broadway Monitoring Llc | |
|
2340 W Parkside Ln Ste H107 Phoenix AZ 85027-1274 | |
| (602) 441-3573 | |
| Not Available |
| Full Name | Broadway Monitoring Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2340 W Parkside Ln Ste H107, Phoenix, Arizona |
| Authorized Official Name and Position | Thomas Moshiri (MANAGER) |
| Authorized Official Contact | 6024413573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Monitoring Llc 21001 N Tatum Blvd Ste 1630-606 Phoenix AZ 85050-4242 Ph: (602) 354-5310 | Broadway Monitoring Llc 2340 W Parkside Ln Ste H107 Phoenix AZ 85027-1274 Ph: (602) 441-3573 |
| NPI Number | 1356806269 |
|---|---|
| Provider Enumeration Date | 02/05/2019 |
| Last Update Date | 02/24/2022 |
| Certification Date | 02/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356806269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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