Provider Demographics
NPI:1538271432
Name:BIO-MEDICAL APPLICATIONS OF NEVADA, LLC
Entity type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF NEVADA, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BLANTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:6330 S PECOS RD STE 110
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-6216
Mailing Address - Country:US
Mailing Address - Phone:702-433-3079
Mailing Address - Fax:702-433-2495
Practice Address - Street 1:6330 S PECOS RD STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-6216
Practice Address - Country:US
Practice Address - Phone:702-433-3079
Practice Address - Fax:702-433-2495
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-31
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR292513Medicare Oscar/Certification
NV292513Medicare Oscar/Certification