Provider Demographics
NPI:1487663613
Name:BAY IMAGING PLC
Entity Type:Organization
Organization Name:BAY IMAGING PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BASSAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:DAGHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:989-894-3281
Mailing Address - Street 1:916 WASHINGTON AVENUE
Mailing Address - Street 2:SUITE 323
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48708
Mailing Address - Country:US
Mailing Address - Phone:989-891-9050
Mailing Address - Fax:989-891-9070
Practice Address - Street 1:1900 COLUMBUS AVENUE
Practice Address - Street 2:3175 W. PROFESSIONAL DRIVE
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708
Practice Address - Country:US
Practice Address - Phone:989-891-9050
Practice Address - Fax:989-891-9070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiologyGroup - Multi-Specialty
Not Answered2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0791081OtherBXBS MT
MIOP19320Medicare ID - Type Unspecified