INTERVASC AT BAY RADIOLOGY LLC NPI 1942495916

NPI Information

  • NPI: 1942495916
  • Provider Name: INTERVASC AT BAY RADIOLOGY, LLC
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Organization
  • Address: 527 N. PALO ALTO AVE.
    PANAMA CITY, FL
    ZIP 32401
  • Phone: (850) 873-3990

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NPI Details

INTERVASC AT BAY RADIOLOGY, LLC is a vascular and interventional radiology radiology in Panama City, FL. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. INTERVASC AT BAY RADIOLOGY, LLC NPI is 1942495916. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

527 N. PALO ALTO AVE.
PANAMA CITY, FL
ZIP 32401-639
Phone: (850) 873-3990
Fax: (850) 873-3974

The provider's authorized official is Lloyd G. Logue .
The authorized official title is Ceo and has the following contact phone number (850) 747-4905.

The enumeration date for this NPI number is 9/12/2007 and was last updated on 8/18/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0204XRadiologyVascular & Interventional RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1279907300MEDICAIDFLORIDA
298028OTHERFLORIDABCBS
3AG442MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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