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MILO DIALYSIS LLC NPI 1033474515


NPI Information

NPI: 1033474515
Provider Name: MILO DIALYSIS LLC

Doing Business As: AUBURN ROAD DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 36D2045582

Address:
7611 AUBURN RD
PAINESVILLE, OH
ZIP 44077
Phone: (440) 357-2927
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MILO DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Painesville, OH. MILO DIALYSIS LLC NPI is 1033474515. The provider is registered as an organization entity type.
The provider Is Doing Business As Auburn Road Dialysis.

The provider's business location address is:

7611 AUBURN RD
PAINESVILLE, OH
ZIP 44077-608
Phone: (440) 357-2927
Fax: (440) 357-2976

The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 36D2045582 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2012 and was last updated on 5/6/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10096664MEDICAIDOHIO

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: 11/14/2023

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