Organization Name: | BIO-MEDICAL APPLICATIONS OF MICHIGAN, INC. |
NPI Number: | 1083921084 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK R. FAWCETT (TREASURER) |
Mailing Address: | 8816 Red Arrow Hwy Watervliet |
State: | MI US |
Postal Code: | 490988536 |
Phone Number: | 2693842230 |
Fax Number: | 2693846192 |
NPI Enumeration Date: | 09/13/2010 |
NPI Last Update Date: | 01/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |