Provider Demographics
NPI:1881661957
Name:BAY AREA IMAGING SOLUTIONS LLC
Entity Type:Organization
Organization Name:BAY AREA IMAGING SOLUTIONS LLC
Other - Org Name:BAYVIEW RADIOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:COUSIN
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:813-964-8439
Mailing Address - Street 1:10010 N DALE MABRY HWY
Mailing Address - Street 2:SUITE 150
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-4469
Mailing Address - Country:US
Mailing Address - Phone:813-964-8439
Mailing Address - Fax:
Practice Address - Street 1:10010 N DALE MABRY HWY
Practice Address - Street 2:SUITE 150
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-4469
Practice Address - Country:US
Practice Address - Phone:813-964-8439
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLV2839OtherBLUE CROSS BLUE SHIELD
FLV2839OtherBLUE CROSS BLUE SHIELD