Provider Demographics
NPI:1851274401
Name:BABY LIST HEALTH, LLC
Entity type:Organization
Organization Name:BABY LIST HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-360-0298
Mailing Address - Street 1:5 RIGGS AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146-3879
Mailing Address - Country:US
Mailing Address - Phone:410-431-0144
Mailing Address - Fax:888-384-2465
Practice Address - Street 1:1900 POWELL ST STE 150
Practice Address - Street 2:
Practice Address - City:EMERYVILLE
Practice Address - State:CA
Practice Address - Zip Code:94608-1837
Practice Address - Country:US
Practice Address - Phone:410-431-0144
Practice Address - Fax:888-384-2465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies