BROADWAY LASER SURGICAL INSTITUTE, INC.
NPI 1558853234
Clinic/Center - Ambulatory Surgical in Glendale, CA

Q: What is Broadway Laser Surgical Institute, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since May 30, 2018CLIA 05D2306832 · Waiver

1100 E BROADWAY STE 201, GLENDALE, CA 91205(818) 449-3937 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Broadway Laser Surgical Institute, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROADWAY LASER SURGICAL INSTITUTE, INC. (NPI 1558853234) is a healthcare organization registered as an ambulatory surgical in Glendale, California and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through June 24, 2028 and lists Abraham Ebbie Soroudi, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1558853234

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameBROADWAY LASER SURGICAL INSTITUTE, INC.

Location Address1100 E BROADWAY STE 201Glendale, CA 91205-1380

Mailing Address1100 E Broadway Ste 201Glendale, CA 91205-1380 · (818) 449-3937

Phone(818) 449-3937

Organization SubpartNo

Authorized OfficialAbraham Ebbie SoroudiMedical Director · (310) 474-2010

Enumeration DateMay 30, 2018

Last NPPES UpdateApril 27, 2020

NPPES CertifiedApril 27, 2020

✔ NPI 1558853234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

1100 E BROADWAY STE 201, Glendale, CA 91205

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2306832

Broadway Laser Surgical Institute · Glendale, CA

Active · expires Jun 24, 2028

CLIA Number05D2306832

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJune 25, 2026

Certificate Expiration DateJune 24, 2028

Laboratory DirectorAbraham E. Soroudi

Laboratory Phone(310) 474-2010

Laboratory LocationBroadway Laser Surgical Institute1100 E Broadway #201, Glendale, CA 91205

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml J1097

This solution is used during eye surgery to maintain pupil dilation and reduce inflammation. Phenylephrine widens the pupil, while Ketorolac helps to prevent pain and swelling. It's applied directly to the eye by your healthcare provider during the procedure.

652 services109 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

116 services87 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

113 services87 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

49 services43 patients

Repair of tendon of upper eyelid 67904

Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.

43 services43 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

24 services17 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broadway Laser Surgical Institute, Inc.'s NPI number?

The NPI number for Broadway Laser Surgical Institute, Inc. is 1558853234. It was assigned to this organization in the NPPES registry on May 30, 2018.

Where is Broadway Laser Surgical Institute, Inc. located?

Broadway Laser Surgical Institute, Inc. is located at 1100 E Broadway Ste 201, Glendale, CA 91205. The listed phone number is (818) 449-3937.

What is Broadway Laser Surgical Institute, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Broadway Laser Surgical Institute, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2306832) is associated with this NPI, valid through June 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Broadway Laser Surgical Institute, Inc. was last updated on April 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.