Organization
BAYVIEW PHYSICIAN SERVICES, PC
Active
Other names
LMC Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY DAVID FORMAN (DIRECTOR)
(757) 923-9604
Entity
Organization
Contact information
Practice address
2000 MEADE PARKWAY, SUFFOLK, VA 23434-4259
(757) 934-9308
(757) 539-7582
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
OH660
VA
261QR0206X
Mammography Clinic/Center
OH660
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010235499
—
VA
01
—
0721140
CIGNA PROVIDER NUMBER
VA
01
—
267286
ANTHEM BCBS
VA
01
—
50122
OPTIMA PROVIDER NUMBER
VA
01
—
7729551
AETNA PROVIDER NUMBER
VA
01
—
P00413966
RAILROAD MEDICARE
VA
Enumeration date
10/13/2006
Last updated
10/07/2025
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