Organization
INTERVASC AT BAY RADIOLOGY, 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) 747-4905
Entity
Organization
Contact information
Practice address
527 N. PALO ALTO AVE., PANAMA CITY, FL 32401-3639
(850) 873-3990
(850) 873-3974
Mailing address
PO BOX 1770, PANAMA CITY, FL 32402-1770
(850) 747-4905
(850) 747-4907
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279907300
—
FL
01
—
98028
BCBS
FL
Enumeration date
09/12/2007
Last updated
08/18/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us