MEDICARE: BLOOD SYSTEMS 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	331L00000X	Blood Bank	A98509	CA

General Provider Information

NPI Number	:	1629326681
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLOOD SYSTEMS INC.

Provider Business Mailing Address
First Line	:	6210 E OAK ST
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85257-1101
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6210 E OAK ST
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85257-1101
Country	:	US
Telephone Number	:	480-675-5756
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. DAN CONNOR
Credential	:
Telephone Number	:	800-288-2199

Provider Enumeration Date	:	08/23/2012
Last Update Date	:	08/23/2012

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Directions to “BLOOD SYSTEMS INC. ” Practice Location

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