Intervasc At Bay Radiology, Llc

LBN: Intervasc At Bay Radiology, Llc
Intervasc At Bay Radiology, Llc is an health care organization with primary practice located at 527 N. Palo Alto Ave. , Panama City FL 32401-3639. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as the primary health care specialty. Intervasc At Bay Radiology, Llc can be contacted via phone (850) 873-3990, or through Logue, Lloyd G. via phone (850) 747-4905.

Contact Information

Primary practice address
527 N. Palo Alto Ave. Panama City FL 32401-3639
Phone: (850) 873-3990
Fax: (850) 873-3974
Website:
Map and Directions
Authorized official contact:
Name: Logue, Lloyd G. Doctor of Osteopathy (DO)
Phone: (850) 747-4905

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X

Profile Details

NPI number 1942495916
LBN Legal business name Intervasc At Bay Radiology, Llc
DBA Doing business as
Authorized official Logue, Lloyd G. Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 12th, 2007
Last updated Aug 18th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942495916 NPPES
Florida MEDICAID 279907300
Florida Other 98028

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