Healthcare Provider Details

I. General information

NPI: 1235160185
Provider Name (Legal Business Name): BMC DIAGNOSTICS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 BAYWOOD AVE SUITE 2
SAN MATEO CA
94402-1516
US

IV. Provider business mailing address

2000 POWELL ST SUITE 1050
EMERYVILLE CA
94608-1804
US

V. Phone/Fax

Practice location:
  • Phone: 510-596-0700
  • Fax:
Mailing address:
  • Phone: 510-596-0700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ARA CHACKERIAN
Title or Position: CEO
Credential:
Phone: 510-596-0700