FMCNA DIALYSIS SERVICES OF BURBANK
NPI 1902911753
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Burbank, IL

Active since August 20, 2006CLIA 14D1008924 · Waiver
4811 W 77TH ST, BURBANK, IL 60459(708) 229-0584 Get Directions Write a Review

NPPES record last updated: March 6, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fmcna Dialysis Services Of Burbank NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FMCNA DIALYSIS SERVICES OF BURBANK (NPI 1902911753) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Burbank, Illinois and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through January 30, 2027 and lists Mark Fawcett, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1902911753
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameBIO-MEDICAL APPLICATIONS OF ILLINOIS, INC.
Location Address4811 W 77TH STBurbank, IL 60459-1586
Mailing Address4811 W 77th StBurbank, IL 60459-1586 · (708) 229-0584
Organization SubpartYesParent: Fresenius Medical Care Holdings, Inc.
Authorized OfficialMark FawcettTreasurer · (781) 699-9000
Enumeration DateAugust 20, 2006
Last NPPES UpdateMarch 6, 2009
NPI 1902911753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
4811 W 77TH ST, Burbank, IL 60459

Other Names 1

Doing Business AsFmcna Dialysis Services Of Burbank

Other Identifiers 1

Medicare OSCAR/certification142641

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1008924

Fmc Dialysis Services Of Burbank · Burbank, IL
Active · expires Jan 30, 2027
CLIA Number14D1008924
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJanuary 31, 2025
Certificate Expiration DateJanuary 30, 2027
Laboratory DirectorSreedevi Chittineni
Laboratory Phone(708) 229-0584
Laboratory LocationFmc Dialysis Services Of Burbank4811 W 77th St, Burbank, IL 60459
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
4811 W 77TH ST
BURBANK, IL 60459

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bio-Medical Applications Of Illinois, Inc.'s NPI number?

The NPI number for Bio-Medical Applications Of Illinois, Inc. is 1902911753. It was assigned to this organization in the NPPES registry on August 20, 2006. The provider is doing business as Fmcna Dialysis Services Of Burbank.

Where is Bio-Medical Applications Of Illinois, Inc. located?

Bio-Medical Applications Of Illinois, Inc. is located at 4811 W 77th St, Burbank, IL 60459. The listed phone number is (708) 229-0584.

What is Bio-Medical Applications Of Illinois, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Bio-Medical Applications Of Illinois, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1008924) is associated with this NPI, valid through January 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bio-Medical Applications Of Illinois, Inc. was last updated on March 6, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.