Organization
BAY AREA MOBILE, INC
Active
Other names
Axiom Mobile Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LANDON STEELE (PRESIDENT)
(415) 377-0325
Entity
Organization
Contact information
Practice address
751 LAUREL ST # 202, SAN CARLOS, CA 94070-3113
(415) 377-0325
(866) 846-1907
Mailing address
751 LAUREL ST # 202, SAN CARLOS, CA 94070-3113
(415) 377-0325
(866) 846-1907
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
70472
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FAC00070472
—
CA
01
—
GX718A
MEDICARE PTAN
CA
Enumeration date
12/09/2011
Last updated
10/03/2016
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