LOFIELD DIALYSIS LLC NPI 1720536295

NPI Information

LOFIELD DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Evansville, IN. LOFIELD DIALYSIS LLC NPI is 1720536295. The provider is registered as an organization entity type.
The provider Is Doing Business As Eagles Dialysis.

The provider's business location address is:

5301 PEARL DR
STE 300
EVANSVILLE, IN
ZIP 47712-111
Phone: (812) 467-0161
Fax: (812) 467-0139

The provider's authorized official is Samuel T Wey .
The authorized official title is Sr Director Licensure&certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 15D2123067 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2016 and was last updated on 8/17/2023.

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:

Other Identifiers

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