DAVITA TIDEWATER LLC is an end-stage renal disease (esrd) treatment clinic center in Norfolk, VA. DAVITA TIDEWATER LLC NPI is 1952365082. The provider is registered as an organization entity type.
The provider Is Doing Business As Leigh Dialysis Center.
The provider's business location address is:
420 N CENTER DR
BLDG 11-STE128
NORFOLK, VA
ZIP 23502-007
Phone: (757) 455-0060
Fax: (757) 455-0065
The provider's authorized official is James K Hilger .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4500.
The CLIA number assigned to this NPI record is 49D1047440 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/14/2006 and was last updated on 9/22/2015.