LOCKHART DIALYSIS LLC NPI 1023385309

NPI Information

LOCKHART DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Pahrump, NV. LOCKHART DIALYSIS LLC NPI is 1023385309. The provider is registered as an organization entity type.
The provider Is Doing Business As Pahrump Dialysis Center.

The provider's business location address is:

330 S LOLA LN STE 100
PAHRUMP, NV
ZIP 89048-879
Phone: (775) 751-4300
Fax: (775) 751-4310

The provider's authorized official is Samuel T Wey .
The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 29D0984238 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2011 and was last updated on 4/8/2024.

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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