SOUTH MOUNTAIN DIALYSIS LLC NPI 1033159488

NPI Information

SOUTH MOUNTAIN DIALYSIS, LLC is an end-stage renal disease (esrd) treatment clinic center in South Jordan, UT. SOUTH MOUNTAIN DIALYSIS, LLC NPI is 1033159488. The provider is registered as an organization entity type.
The provider Is Doing Business As South Mountain Dialysis, Llc.

The provider's business location address is:

10969 S RIVER FRONT PKWY
SOUTH JORDAN, UT
ZIP 84095-538
Phone: (801) 253-9696
Fax: (801) 253-3303

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 enumeration date for this NPI number is 6/7/2006 and was last updated on 8/2/2021.

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:

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