Provider Demographics
NPI:1801118245
Name:BIO-MEDICAL APPLICATIONS OF OKLAHOMA, INC.
Entity type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF OKLAHOMA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:FAWCETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:301 KATIE MICHELLE BLVD
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-8271
Mailing Address - Country:US
Mailing Address - Phone:405-341-9926
Mailing Address - Fax:405-341-9930
Practice Address - Street 1:301 KATIE MICHELLE BLVD
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-8271
Practice Address - Country:US
Practice Address - Phone:405-341-9926
Practice Address - Fax:405-341-9930
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-26
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment