Organization
BAY ULTRASOUND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVIER DAVON MAYES RVS (TECHNICAL DIRECTOR)
(510) 859-4178
Entity
Organization
Contact information
Practice address
3155 KEARNEY ST # 109, FREMONT, CA 94538-2268
(510) 859-4178
(510) 443-1090
Mailing address
2738 10TH ST, BERKELEY, CA 94710-2635
(619) 206-5662
(510) 443-1090
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
—
—
305S00000X
Point of Service
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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