Provider Demographics
NPI:1851588248
Name:BIO MEDICAL APPLICATIONS OF OKLAHOMA INC
Entity type:Organization
Organization Name:BIO MEDICAL APPLICATIONS OF OKLAHOMA INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO AREA MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROCKY
Authorized Official - Middle Name:H
Authorized Official - Last Name:FIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-878-9300
Mailing Address - Street 1:3807 N HARRISON STREET
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74804
Mailing Address - Country:US
Mailing Address - Phone:405-878-9300
Mailing Address - Fax:405-395-9362
Practice Address - Street 1:2401 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:HENRYETTA
Practice Address - State:OK
Practice Address - Zip Code:74437
Practice Address - Country:US
Practice Address - Phone:918-652-4418
Practice Address - Fax:918-652-0480
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BIO MEDICAL APPLICATIONS OF OKLAHOMA INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-28
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center