Provider Demographics
NPI:1225269764
Name:BAY AREA HEALTH TRUST
Entity Type:Organization
Organization Name:BAY AREA HEALTH TRUST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SETTLOR/CHAIRMAN
Authorized Official - Prefix:MR
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RYDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:905-627-2343
Mailing Address - Street 1:650 SANATORIUM ROAD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:L9C 7S7
Mailing Address - Country:CA
Mailing Address - Phone:905-521-2100
Mailing Address - Fax:905-521-2356
Practice Address - Street 1:565 SANATORIUM ROAD
Practice Address - Street 2:SUITE 205B
Practice Address - City:HAMILTON
Practice Address - State:ONTARIO
Practice Address - Zip Code:L9C 7N4
Practice Address - Country:CA
Practice Address - Phone:905-385-1020
Practice Address - Fax:905-385-1025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-31
Last Update Date:2009-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory