Provider Demographics
NPI:1356443519
Name:BIO-MEDICAL APPLICATIONS OF ARIZONA, LLC
Entity Type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF ARIZONA, LLC
Other - Org Name:BMA PARKER DIALYSIS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
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:RR 1
Mailing Address - Street 2:12205 KENNEDY DR
Mailing Address - City:PARKER
Mailing Address - State:AZ
Mailing Address - Zip Code:85344-9701
Mailing Address - Country:US
Mailing Address - Phone:928-669-9838
Mailing Address - Fax:928-669-8651
Practice Address - Street 1:RR 1
Practice Address - Street 2:12205 KENNEDY DR
Practice Address - City:PARKER
Practice Address - State:AZ
Practice Address - Zip Code:85344-9701
Practice Address - Country:US
Practice Address - Phone:928-669-9838
Practice Address - Fax:928-669-8651
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-01
Last Update Date:2023-10-17
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
032522Medicare Oscar/Certification