INDEPENDENT NEPHROLOGY SERVICES LLC NPI 1962451492

NPI Information

INDEPENDENT NEPHROLOGY SERVICES, LLC is an end-stage renal disease (esrd) treatment clinic center in Charlotte, NC. INDEPENDENT NEPHROLOGY SERVICES, LLC NPI is 1962451492. The provider is registered as an organization entity type.
The provider Is Doing Business As Ins Freedom Dialysis.

The provider's business location address is:

3158 FREEDOM DR
STE 2102
CHARLOTTE, NC
ZIP 28208-870
Phone: (980) 341-1900
Fax: (704) 405-7407

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 34D1054678 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 2/21/2022.

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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