Provider Demographics
NPI:1386403244
Name:BIOMATRIX SPECIALTY INFUSION AL, LLC
Entity type:Organization
Organization Name:BIOMATRIX SPECIALTY INFUSION AL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHEE
Authorized Official - Middle Name:M
Authorized Official - Last Name:KRAMM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-314-6098
Mailing Address - Street 1:855 SW 78TH AVE # C-200
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3223
Mailing Address - Country:US
Mailing Address - Phone:877-337-3002
Mailing Address - Fax:
Practice Address - Street 1:300 RIVERHILLS BUSINESS PARK # 390
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-5037
Practice Address - Country:US
Practice Address - Phone:888-276-6856
Practice Address - Fax:877-567-8089
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BIOMATRIX SPECIALTY PHARMACY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-14
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No333600000XSuppliersPharmacy