MEDICARE: BIODESIGN 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	335E00000X	Prosthetic/Orthotic Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063405207
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIODESIGN INC

Provider Business Mailing Address
First Line	:	2460 W 26TH AVE
Second Line	:	C175
City	:	DENVER
State	:	CO
Zip	:	80211-5308
Country	:	US
Telephone Number	:	303-477-7044
Fax Number	:	303-477-7621

Provider Business Practice Location Address
First Line	:	2460 W 26TH AVE
Second Line	:	C175
City	:	DENVER
State	:	CO
Zip	:	80211-5308
Country	:	US
Telephone Number	:	303-477-7044
Fax Number	:	303-477-7621

Authorized Official
Title or Position	:	VP
Name	:	KIMBERLY JOAN HOYT
Credential	:	CP
Telephone Number	:	305-477-7044

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	09/24/2009

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Directions to “BIODESIGN INC ” Practice Location

Language	Start Address	Practice Location

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