ALASKA DIALYSIS - LAUREL STREET LLC NPI 1003567512

NPI Information

NPI: 1003567512
Provider Name: ALASKA DIALYSIS - LAUREL STREET, LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 02D0640695

Address:
3950 LAUREL ST
ANCHORAGE, AK
ZIP 99508
Phone: (907) 563-3149
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ALASKA DIALYSIS - LAUREL STREET, LLC is an end-stage renal disease (esrd) treatment clinic center in Anchorage, AK. ALASKA DIALYSIS - LAUREL STREET, LLC NPI is 1003567512. The provider is registered as an organization entity type.

The provider's business location address is:

3950 LAUREL ST
ANCHORAGE, AK
ZIP 99508-366
Phone: (907) 563-3149

The provider's authorized official is Thomas L Weinberg .
The authorized official title is Chairman and has the following contact phone number (214) 736-2700.

The CLIA number assigned to this NPI record is 02D0640695 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/17/2022 and was last updated on 1/17/2022.

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:

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: 4/28/2024

NPI Synchronization or Removal

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