# BAYVIEW PHYSICIAN SERVICES, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LMC Radiology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699865626
- **Authorized official:** JEFFREY DAVID FORMAN (DIRECTOR)
- **Authorized official phone:** (757) 923-9604

## Contact information

- **Practice address:** 2000 MEADE PARKWAY, SUFFOLK, VA 23434-4259
- **Practice address phone:** (757) 934-9308
- **Practice address fax:** (757) 539-7582
- **Mailing address:** PO BOX 7068, PORTSMOUTH, VA 23707-0068
- **Mailing address phone:** (757) 686-3508
- **Mailing address fax:** (757) 686-0541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | OH660 | VA | Yes |
| 261QR0206X | Mammography Clinic/Center | OH660 | VA | — |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 10/07/2025