Bay Area Mobile, Inc

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

License

63395 Issued in CA

Legal business name

BAY AREA MOBILE, INC

Doing business as

Axiom Mobile Imaging

Practice address

751 Laurel St # 202
San Carlos, CA 94070-3113

Phone

(415) 377-0325

Fax

(866) 846-1907

NPI assigned

Nov 17, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Landon Steele

Title

President

Phone

(415) 377-0325

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Axiom Mobile Imaging Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1033364161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 LAUREL ST # 202",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703113",
            "telephone_number": "415-377-0325",
            "fax_number": "866-846-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 LAUREL ST # 202",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703113",
            "telephone_number": "415-377-0325",
            "fax_number": "866-846-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA MOBILE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "LANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-377-0325",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "CA",
            "license": "63395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AN994",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FAC00063395",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axiom Mobile Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physiological Laboratory in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Physiological Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.