LLANO DIALYSIS LLC NPI 1053548362

NPI Information

NPI: 1053548362
Provider Name: LLANO DIALYSIS LLC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: CARQUINEZ DIALYSIS
CLIA Number: 05D1099284
Address: 125 CORPORATE PL STE C
VALLEJO, CA
ZIP 94590
Phone: (707) 556-3637

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NPI Details

LLANO DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Vallejo, CA. LLANO DIALYSIS LLC NPI is 1053548362. The provider is registered as an organization entity type.
The provider Is Doing Business As Carquinez Dialysis.

The provider's business location address is:

125 CORPORATE PL STE C
VALLEJO, CA
ZIP 94590-968
Phone: (707) 556-3637
Fax: (707) 556-3642

The provider's authorized official is James K Hilger .
The authorized official title is Vice President and has the following contact phone number (253) 382-1919.

The CLIA number assigned to this NPI record is 05D1099284 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2009 and was last updated on 6/12/2009.

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?

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This page was last updated on: 3/30/2025

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