SATELLITE HEALTHCARE CENTRAL STATES LLC NPI 1063878403

NPI Information

SATELLITE HEALTHCARE CENTRAL STATES, LLC is an end-stage renal disease (esrd) treatment clinic center in Laredo, TX. SATELLITE HEALTHCARE CENTRAL STATES, LLC NPI is 1063878403. The provider is registered as an organization entity type.
The provider Is Doing Business As Satellite Healthcare North Laredo.

The provider's business location address is:

5501 SPRINGFIELD AVE
LAREDO, TX
ZIP 78041-348
Phone: (956) 724-8276
Fax: (956) 725-1223

The provider's authorized official is Susan L Del Bene .
The authorized official title is Cfo/secretary and has the following contact phone number (650) 404-3618.

The CLIA number assigned to this NPI record is 45D0664864 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/14/2016 and was last updated on 12/30/2016.

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

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

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