Provider Demographics
NPI:1235911389
Name:BLACKFIN BIOMECHATRONICS LLC
Entity Type:Organization
Organization Name:BLACKFIN BIOMECHATRONICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CLINT
Authorized Official - Middle Name:D
Authorized Official - Last Name:ACCINNI
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:720-272-1072
Mailing Address - Street 1:PO BOX 2
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80539-0002
Mailing Address - Country:US
Mailing Address - Phone:970-440-3244
Mailing Address - Fax:
Practice Address - Street 1:2105 MAPLE DR
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-3958
Practice Address - Country:US
Practice Address - Phone:970-440-3244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-13
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0900XAmbulatory Health Care FacilitiesClinic/CenterAmputee