# BAY ULTRASOUND, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811460801
- **Authorized official:** MR. DAVIER DAVON MAYES RVS (TECHNICAL DIRECTOR)
- **Authorized official phone:** (510) 859-4178

## Contact information

- **Practice address:** 3155 KEARNEY ST \# 109, FREMONT, CA 94538-2268
- **Practice address phone:** (510) 859-4178
- **Practice address fax:** (510) 443-1090
- **Mailing address:** 2738 10TH ST, BERKELEY, CA 94710-2635
- **Mailing address phone:** (619) 206-5662
- **Mailing address fax:** (510) 443-1090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | — | NULL | — |
| 305S00000X | Point of Service | — | NULL | — |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 01/02/2019
- **Last updated:** 01/02/2019