INDEPENDENT DIALYSIS GROUP NORTHEAST OHIO LLC NPI 1518570886

NPI Information

NPI: 1518570886
Provider Name: INDEPENDENT DIALYSIS GROUP NORTHEAST OHIO LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 36D2298359

Address:
48444 BELL SCHOOL RD STE 4
CALCUTTA, OH
ZIP 43920
Phone: (330) 781-6212
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INDEPENDENT DIALYSIS GROUP NORTHEAST OHIO LLC is an end-stage renal disease (esrd) treatment clinic center in Calcutta, OH. INDEPENDENT DIALYSIS GROUP NORTHEAST OHIO LLC NPI is 1518570886. The provider is registered as an organization entity type.

The provider's business location address is:

48444 BELL SCHOOL RD STE 4
CALCUTTA, OH
ZIP 43920-646
Phone: (330) 781-6212

The provider's authorized official is Adrian Amedia .
The authorized official title is President and has the following contact phone number (330) 781-6212.

The CLIA number assigned to this NPI record is 36D2298359 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/26/2020 and was last updated on 8/26/2020.

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			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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