GRAND AVENUE IMAGING
Mammography Clinic/Center · LOS ANGELES, CA
Organization Active NPI 1154520989
Medicare payment data Part B · 2022
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2022 | 23 | 28 | $4,460 | $2,120 | $1,189 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Mammography Clinic/Center | 261QR0206X | ✓ | FAC 48220 | CA |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.