Basic Information
Provider Information
NPI: 1417130394
EntityType: 2
ReplacementNPI:  
OrganizationName: BAY CITY IMAGING INC
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Mailing Information
Address1: PO BOX 306365
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372306365
CountryCode: US
TelephoneNumber: 8002493478
FaxNumber: 7135926772
Practice Location
Address1: 720 AVENUE F N
Address2: SUITE 1
City: BAY CITY
State: TX
PostalCode: 774149573
CountryCode: US
TelephoneNumber: 9793239797
FaxNumber: 9793230767
Other Information
ProviderEnumerationDate: 12/13/2007
LastUpdateDate: 04/15/2020
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AuthorizedOfficialLastName: SMITH
AuthorizedOfficialFirstName: BRIAN
AuthorizedOfficialMiddleName: J
AuthorizedOfficialTitleorPosition: DIRECTOR
AuthorizedOfficialTelephone: 6154199221
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate: 04/15/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QM1200X  N Ambulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
293D00000X  N LaboratoriesPhysiological Laboratory 
261QR0200X  Y Ambulatory Health Care FacilitiesClinic/CenterRadiology

No ID Information.


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