Provider Demographics
NPI:1578665956
Name:BIO-MEDICAL APPLICATIONS OF LOUISIANA, LLC
Entity Type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF LOUISIANA, LLC
Other - Org Name:NORTH LAFAYETTE 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 1:910 MARTIN LUTHER KING JR DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70501-1856
Mailing Address - Country:US
Mailing Address - Phone:337-234-0084
Mailing Address - Fax:337-234-0143
Practice Address - Street 1:910 MARTIN LUTHER KING JR DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70501-1856
Practice Address - Country:US
Practice Address - Phone:337-234-0084
Practice Address - Fax:337-234-0143
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-05
Last Update Date:2021-08-20
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
192580Medicare ID - Type Unspecified