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NPI Code Detail

MEDICARE: BIO-MEDICAL APPLICATIONS OF NEVADA, LLC

MEDICARE: BIO-MEDICAL APPLICATIONS OF NEVADA, LLC
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
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center

General Provider Information

NPI Number : 1568574465
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIO-MEDICAL APPLICATIONS OF NEVADA, LLC
Provider Business Mailing Address
First Line : 2545 S BRUCE ST STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-1778
Country : US
Telephone Number : 702-735-5477
Fax Number : 702-796-7604
Provider Business Practice Location Address
First Line : 2545 S BRUCE ST STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-1778
Country : US
Telephone Number : 702-735-5477
Fax Number : 702-796-7604
Authorized Official
Title or Position : VICE PRESIDENT
Name : BARRY L. BLANTON
Credential :
Telephone Number : 781-699-9000
Provider Enumeration Date : 08/31/2006
Last Update Date : 10/17/2023

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