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BIO-MEDICAL APPLICATIONS OF GEORGIA INC. NPI 1871712927


NPI Information

NPI: 1871712927
Provider Name: BIO-MEDICAL APPLICATIONS OF GEORGIA, INC.

Doing Business As: FMCNA DIALYSIS SERVICES OF DECATUR

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 11D1054910

Address:
2721 IRVIN WAY
DECATUR, GA
ZIP 30030
Phone: (404) 298-5450
Get Directions

BIO-MEDICAL APPLICATIONS OF GEORGIA, INC. is an end-stage renal disease (esrd) treatment clinic center in Decatur, GA. BIO-MEDICAL APPLICATIONS OF GEORGIA, INC. NPI is 1871712927. The provider is registered as an organization entity type.
The provider Is Doing Business As Fmcna Dialysis Services Of Decatur.

The provider's business location address is:

2721 IRVIN WAY
DECATUR, GA
ZIP 30030-720
Phone: (404) 298-5450
Fax: (404) 298-5451

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 11D1054910 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/25/2007 and was last updated on 10/14/2023.


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 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
1154813109AMEDICAIDGEORGIA

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: 4/28/2024

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