Organization Name: | BIO-MEDICAL APPLICATIONS OF VIRGINIA, INC. |
NPI Number: | 1336513266 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK FAWCETT (SENIOR VP AND TREASURER) |
Mailing Address: | 3671 Fettler Park Dr Dumfries |
State: | VA US |
Postal Code: | 220252049 |
Phone Number: | 7032211407 |
Fax Number: | 7032214113 |
NPI Enumeration Date: | 11/16/2015 |
NPI Last Update Date: | 01/07/2016 |
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: |