Provider Demographics
NPI:1861475451
Name:BIO-MEDICAL APPLICATIONS OF MICHIGAN, INC.
Entity Type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF MICHIGAN, INC.
Other - Org Name:FRESENIUS MEDICAL CARE TAYLOR
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 1:22970 NORTHLINE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-4696
Mailing Address - Country:US
Mailing Address - Phone:734-287-6585
Mailing Address - Fax:734-287-6647
Practice Address - Street 1:22970 NORTHLINE RD STE 100
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-4696
Practice Address - Country:US
Practice Address - Phone:734-287-6585
Practice Address - Fax:734-287-6647
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-11-28
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI261QE0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
MID9426OtherBLUE CROSS SECONDARY
MI404634494Medicaid
MID8960OtherBLUE CROSS PRIMARY
MI404634494Medicaid