KIDNEY INSTITUTE OF NORTH DAKOTA LLC NPI 1003809948

NPI Information

KIDNEY INSTITUTE OF NORTH DAKOTA, LLC is an end-stage renal disease (esrd) treatment clinic center in Grand Forks, ND. KIDNEY INSTITUTE OF NORTH DAKOTA, LLC NPI is 1003809948. The provider is registered as an organization entity type.

The provider's business location address is:

1451 - 44TH AVENUE SOUTH SUITE 112-D
GRAND FORKS, ND
ZIP 58201-055
Phone: (701) 795-1300
Fax: (701) 775-5200

The provider's authorized official is Khaled Rabadi .
The authorized official title is Member and has the following contact phone number (701) 795-1300.

The CLIA number assigned to this NPI record is 35D1011431 - end stage renal disease dialysis facility with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/25/2005 and was last updated on 7/28/2014.

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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