NORTHEAST PHILADELPHIA DIALYSIS CENTER LLC is an end-stage renal disease (esrd) treatment clinic center in Philadelphia, PA. NORTHEAST PHILADELPHIA DIALYSIS CENTER LLC NPI is 1093229809. The provider is registered as an organization entity type.
The provider's business location address is:
9815 ROOSEVELT BLVD STE 1-A PHILADELPHIA, PA ZIP 19114-035 Phone: (215) 330-0494 Fax: (215) 330-0495
The provider's authorized official is Sara Anne Brady . The authorized official title is Chief Nursing Officer and has the following contact phone number (208) 371-7878.
The CLIA number assigned to this NPI record is 39D2143413 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/1/2017 and was last updated on 1/10/2023.
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:
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: 3/30/2025
NPI Synchronization or Removal
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