DIALYSIS NEWCO LLC NPI 1144503699

NPI Information

NPI: 1144503699
Provider Name: DIALYSIS NEWCO LLC

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

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
13055 W MCDOWELL RD
SUITE 101F
AVONDALE, AZ
ZIP 85392
Phone: (623) 935-5460
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DIALYSIS NEWCO LLC is an end-stage renal disease (esrd) treatment clinic center in Avondale, AZ. DIALYSIS NEWCO LLC NPI is 1144503699. The provider is registered as an organization entity type.
The provider Is Doing Business As U.s. Renal Care Avondale Dialysis.

The provider's business location address is:

13055 W MCDOWELL RD
SUITE 101F
AVONDALE, AZ
ZIP 85392-449
Phone: (623) 935-5460
Fax: (623) 935-5465

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 03D1038510 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2011 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	OTC4198	ARIZONA	Yes

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: 5/5/2024

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