Organization
BAY LIFE SERVICES CORPORATION
Active
Other names
MedSTAR Transport
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY MATTON (SVP INTEGRATED OPERATIONS)
(410) 772-6818
Entity
Organization
Contact information
Practice address
4390 PARLIAMENT PLACE, SUITE R, LANHAM, MD 20706
(301) 552-5728
Mailing address
4390 PARLIAMENT PLACE, SUITE R, LANHAM, MD 20706
(301) 552-5728
(301) 306-8587
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
—
—
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035190017
—
DC
Enumeration date
04/29/2024
Last updated
02/07/2025
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