Organization
BIO-MEDICAL APPLICATIONS OF ARIZONA, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
FRESENIUS MEDICAL CARE NORTH MOUNTAIN
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
BARRY L. BLANTON (VICE PRESIDENT)
(781) 699-9000
Entity
Organization
Contact information
Practice address
16605 N 28TH AVE STE 100, PHOENIX, AZ 85053-7551
(602) 863-7954
(602) 863-7623
Mailing address
16605 N 28TH AVE STE 100, PHOENIX, AZ 85053-7551
(602) 863-7954
(602) 863-7623
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032647
PTAN
AZ
Enumeration date
07/17/2015
Last updated
10/19/2023
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