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BIO-MEDICAL APPLICATIONS OF ARIZONA LLC NPI 1447280565


NPI Information

NPI: 1447280565
Provider Name: BIO-MEDICAL APPLICATIONS OF ARIZONA, LLC

Doing Business As: MESA DIALYSIS CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 03D0860931

Address:
1525 N GILBERT RD STE 121
GILBERT, AZ
ZIP 85234
Phone: (480) 497-1127
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BIO-MEDICAL APPLICATIONS OF ARIZONA, LLC is an end-stage renal disease (esrd) treatment clinic center in Gilbert, AZ. BIO-MEDICAL APPLICATIONS OF ARIZONA, LLC NPI is 1447280565. The provider is registered as an organization entity type.
The provider Is Doing Business As Mesa Dialysis Center.

The provider's business location address is:

1525 N GILBERT RD STE 121
GILBERT, AZ
ZIP 85234-305
Phone: (480) 497-1127
Fax: (480) 497-4559

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 03D0860931 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 8/17/2021.


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) TreatmentYes

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
1124975MEDICAIDARIZONA

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.