MEDICARE: BAY IMAGING GROUP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0206X	Mammography Clinic/Center	HCC5519	FL

General Provider Information

NPI Number	:	1336213040
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAY IMAGING GROUP INC

Provider Business Mailing Address
First Line	:	1755 NE 127TH ST
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33181-2518
Country	:	US
Telephone Number	:	305-891-1900
Fax Number	:	305-891-1911

Provider Business Practice Location Address
First Line	:	1755 NE 127TH ST
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33181-2518
Country	:	US
Telephone Number	:	305-891-1900
Fax Number	:	305-891-1911

Authorized Official
Title or Position	:	CEO
Name	:	MR. HANK KOCHE
Credential	:
Telephone Number	:	305-891-1900

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	06/06/2011

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Directions to “BAY IMAGING GROUP INC ” Practice Location

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