Organization Name: | BAY AREA MOBILE, INC |
NPI Number: | 1033364161 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENNETH SCOTT ALTMAN-STEELE (CEO) |
Mailing Address: | 887 Industrial Rd Ste G San Carlos |
State: | CA US |
Postal Code: | 940703326 |
Phone Number: | 6508029460 |
Fax Number: | 8668461907 |
NPI Enumeration Date: | 11/17/2008 |
NPI Last Update Date: | 11/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 293D00000X |
License Number: | 63395 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Laboratories |
Taxonomy Classification: | Physiological Laboratory |
Taxonomy Specialization: | |
Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |