Provider Type Icon

BIO-MEDICAL APPLICATIONS OF ARIZONA LLC NPI 1669584462


NPI Information

NPI: 1669584462
Provider Name: BIO-MEDICAL APPLICATIONS OF ARIZONA, LLC

Doing Business As: BMA BULLHEAD CITY DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 03D0899228

Address:
2650 MIRACLE MILE
BULLHEAD CITY, AZ
ZIP 86442
Phone: (928) 763-5550
Get Directions

BIO-MEDICAL APPLICATIONS OF ARIZONA, LLC is an end-stage renal disease (esrd) treatment clinic center in Bullhead City, AZ. BIO-MEDICAL APPLICATIONS OF ARIZONA, LLC NPI is 1669584462. The provider is registered as an organization entity type.
The provider Is Doing Business As Bma Bullhead City Dialysis.

The provider's business location address is:

2650 MIRACLE MILE
BULLHEAD CITY, AZ
ZIP 86442-548
Phone: (928) 763-5550
Fax: (928) 763-5588

The provider's authorized official is James Divito .
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 03D0899228 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 11/15/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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: 5/5/2024

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.