Organization Name: | BIO-MEDICAL APPLICATIONS OF TENNESSEE, INC. |
NPI Number: | 1003207275 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK R FAWCETT (TREASURER) |
Mailing Address: | 1 Medical Park Blvd Suite 100 E Bristol |
State: | TN US |
Postal Code: | 376207430 |
Phone Number: | 4236522248 |
Fax Number: | 4236521738 |
NPI Enumeration Date: | 02/10/2015 |
NPI Last Update Date: | 03/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |