MEDICARE: BIO-MEDICAL APPLICATIONS OF OKLAHOMA, 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	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center

General Provider Information

NPI Number	:	1750905733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIO-MEDICAL APPLICATIONS OF OKLAHOMA, INC.

Provider Business Mailing Address
First Line	:	324 NW J A RICHARDSON LOOP
Second Line	:
City	:	ADA
State	:	OK
Zip	:	74820-2017
Country	:	US
Telephone Number	:	580-421-9131
Fax Number	:	580-421-9135

Provider Business Practice Location Address
First Line	:	324 NW J A RICHARDSON LOOP
Second Line	:
City	:	ADA
State	:	OK
Zip	:	74820-2017
Country	:	US
Telephone Number	:	580-421-9131
Fax Number	:	580-421-9135

Authorized Official
Title or Position	:	MANAGER
Name	:	AMBER EKRE
Credential	:
Telephone Number	:	480-632-3278

Provider Enumeration Date	:	06/04/2020
Last Update Date	:	04/23/2026

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