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DIALYSIS NEWCO LLC NPI 1023384542


NPI Information

NPI: 1023384542
Provider Name: DIALYSIS NEWCO LLC

Doing Business As: U.S. RENAL CARE LATROBE DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 34D0669845

Address:
3515 LATROBE DR
CHARLOTTE, NC
ZIP 28211
Phone: (704) 366-5299
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DIALYSIS NEWCO LLC is an end-stage renal disease (esrd) treatment clinic center in Charlotte, NC. DIALYSIS NEWCO LLC NPI is 1023384542. The provider is registered as an organization entity type.
The provider Is Doing Business As U.s. Renal Care Latrobe Dialysis.

The provider's business location address is:

3515 LATROBE DR
CHARLOTTE, NC
ZIP 28211-853
Phone: (704) 366-5299

The provider's authorized official is Thomas L Weinberg .
The authorized official title is Authorized Official and has the following contact phone number (214) 736-2700.

The CLIA number assigned to this NPI record is 34D0669845 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/29/2012 and was last updated on 1/4/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentNORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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