Provider Demographics
NPI:1083937734
Name:BIODESIGNS, INC
Entity Type:Organization
Organization Name:BIODESIGNS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD PROSTHETIST/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:D
Authorized Official - Last Name:ALLEY
Authorized Official - Suffix:
Authorized Official - Credentials:CP
Authorized Official - Phone:310-291-4543
Mailing Address - Street 1:850 HAMPSHIRE ROAD
Mailing Address - Street 2:SUITE S
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361
Mailing Address - Country:US
Mailing Address - Phone:800-775-2870
Mailing Address - Fax:800-775-2870
Practice Address - Street 1:850 HAMPSHIRE ROAD
Practice Address - Street 2:SUITE S
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361
Practice Address - Country:US
Practice Address - Phone:800-775-2870
Practice Address - Fax:800-775-2870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-09
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1654335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier