Organization
BAY RADIOLOGY WOMENS IMAGING CENTER, LLC
Active
Parent organization
BAY RADIOLOGY ASSOCIATES, PL
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAY RADIOLOGY ASSOCIATES, PL
Authorized official
DR. LLOYD G. LOGUE D.O. (CEO)
(850) 763-2451
Entity
Organization
Contact information
Practice address
330 W. 23RD ST., PANAMA CITY, FL 32405-7614
(850) 763-2451
(850) 747-4908
Mailing address
PO BOX 1770, PANAMA CITY, FL 32402-1770
(850) 747-4905
(850) 747-4907
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000969700
—
FL
01
—
V2983
BCBS
FL
Enumeration date
09/26/2008
Last updated
08/18/2014
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