10D1006245 CLIA NUMBER - KIDNEY DISEASE CONSULTANTS OF

Laboratory Demographics

CLIA Number: 10D1006245

Facility Name: KIDNEY DISEASE CONSULTANTS OF

Facility Address:
508 MANATEE AVE E
BRADENTON, FL
ZIP 34208
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Facility Phone Number: (941) 744-0024

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1609982214

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name	Field Value
CLIA Number	10D1006245
LAB Type	PHYSICIAN OFFICE
Facility Name	KIDNEY DISEASE CONSULTANTS OF
Street	508 MANATEE AVE E
City	BRADENTON
State	FL
ZIP	34208
Phone	(941) 744-0024

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This page was last updated on: 5/11/2023