| Organization Name: | BAY COLONY MRI & DIAGNSOTIC CENTER, LP |
| NPI Number: | 1013083625 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JACK BAKER (OWNER) |
| Mailing Address: | 2401 Fm 646 Rd W Dickinson |
| State: | TX US |
| Postal Code: | 775393249 |
| Phone Number: | 2814876736 |
| Fax Number: | 2814873187 |
| NPI Enumeration Date: | 11/27/2006 |
| NPI Last Update Date: | 02/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |