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BIO-MEDICAL APPLICATIONS OF NORTH CAROLINA INC. NPI 1215954953


NPI Information

NPI: 1215954953
Provider Name: BIO-MEDICAL APPLICATIONS OF NORTH CAROLINA, INC.

Doing Business As: BMA WEST CHARLOTTE

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 34D0655325

Address:
3158 FREEDOM DR
STE 1102
CHARLOTTE, NC
ZIP 28208
Phone: (704) 393-5509
Get Directions

BIO-MEDICAL APPLICATIONS OF NORTH CAROLINA, INC. is an end-stage renal disease (esrd) treatment clinic center in Charlotte, NC. BIO-MEDICAL APPLICATIONS OF NORTH CAROLINA, INC. NPI is 1215954953. The provider is registered as an organization entity type.
The provider Is Doing Business As Bma West Charlotte.

The provider's business location address is:

3158 FREEDOM DR
STE 1102
CHARLOTTE, NC
ZIP 28208-870
Phone: (704) 393-5509
Fax: (704) 393-5701

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 34D0655325 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 1/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentNORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13402554MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.