Provider Demographics
NPI:1225132095
Name:BIO-MEDICAL APPLICATIONS OF PENNSYLVANIA, INC.
Entity Type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF PENNSYLVANIA, INC.
Other - Org Name:FMC DIALYSIS SERVICES OF MT. OLIVER
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:781-699-9000
Mailing Address - Street 1:1630 ARLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:MT OLIVER
Mailing Address - State:PA
Mailing Address - Zip Code:15210-1737
Mailing Address - Country:US
Mailing Address - Phone:412-481-5602
Mailing Address - Fax:412-481-5662
Practice Address - Street 1:1630 ARLINGTON AVE
Practice Address - Street 2:
Practice Address - City:MT OLIVER
Practice Address - State:PA
Practice Address - Zip Code:15210-1737
Practice Address - Country:US
Practice Address - Phone:412-481-5602
Practice Address - Fax:412-481-5662
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENESIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-12
Last Update Date:2008-07-15
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
392697Medicare Oscar/Certification