Provider Demographics
NPI:1093753568
Name:BIO-MEDICAL APPLICATIONS OF MICHIGAN, INC.
Entity Type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF MICHIGAN, INC.
Other - Org Name:BAY AREA REGIONAL DIALYSIS CENTER SAGINAW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:FAWCETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-2668
Mailing Address - Street 1:920 WINTER ST
Mailing Address - Street 2:FMCNA CKD SERVICES
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-1521
Mailing Address - Country:US
Mailing Address - Phone:781-699-4160
Mailing Address - Fax:781-699-4046
Practice Address - Street 1:4800 MCLEOD DR E
Practice Address - Street 2:BAY AREA REG. DIALYSIS CTR SAGINAW - CKD SERVICES
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-2839
Practice Address - Country:US
Practice Address - Phone:989-790-9440
Practice Address - Fax:989-790-1335
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-04
Last Update Date:2008-05-28
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
MI0N55040Medicare PIN