Provider Demographics
NPI:1972088581
Name:BAY AREA PL SERVICES
Entity Type:Organization
Organization Name:BAY AREA PL SERVICES
Other - Org Name:BAYPLS - LAB
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SALUSTIANO
Authorized Official - Middle Name:
Authorized Official - Last Name:RIBEIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-300-4436
Mailing Address - Street 1:841 SAN BRUNO AVE W STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN BRUNO
Mailing Address - State:CA
Mailing Address - Zip Code:94066-3443
Mailing Address - Country:US
Mailing Address - Phone:415-300-4436
Mailing Address - Fax:415-367-1514
Practice Address - Street 1:841 SAN BRUNO AVE W STE 100
Practice Address - Street 2:
Practice Address - City:SAN BRUNO
Practice Address - State:CA
Practice Address - Zip Code:94066-3443
Practice Address - Country:US
Practice Address - Phone:415-300-4436
Practice Address - Fax:415-367-1514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-28
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
Yes291U00000XLaboratoriesClinical Medical LaboratoryGroup - Multi-Specialty