Provider Demographics
NPI:1235160185
Name:BMC DIAGNOSTICS, INC
Entity Type:Organization
Organization Name:BMC DIAGNOSTICS, INC
Other - Org Name:BAY AREA MRI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHACKERIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-596-0700
Mailing Address - Street 1:2000 POWELL ST
Mailing Address - Street 2:SUITE 1050
Mailing Address - City:EMERYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94608-1804
Mailing Address - Country:US
Mailing Address - Phone:510-596-0700
Mailing Address - Fax:
Practice Address - Street 1:35 BAYWOOD AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402-1516
Practice Address - Country:US
Practice Address - Phone:510-596-0700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========OtherTIN