Provider Demographics
NPI:1740384510
Name:BIO-MEDICAL APPLICATIONS OF NORTHEAST D.C., INC.
Entity Type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF NORTHEAST D.C., INC.
Other - Org Name:FRESENIUS KIDNEY CARE NORTHEAST D.C.
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 1:1140 VARNUM ST NE STE 105
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-2100
Mailing Address - Country:US
Mailing Address - Phone:202-920-8240
Mailing Address - Fax:202-526-4027
Practice Address - Street 1:1140 VARNUM ST NE STE 105
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-2100
Practice Address - Country:US
Practice Address - Phone:202-920-8240
Practice Address - Fax:202-526-4027
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-12
Last Update Date:2023-10-13
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
092515Medicare Oscar/Certification