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LIBERTY DIALYSIS - OKLAHOMA CITY LLC NPI 1093984270


NPI Information

NPI: 1093984270
Provider Name: LIBERTY DIALYSIS - OKLAHOMA CITY LLC

Doing Business As: LIBERTY DIALYSIS - WOODLAND PARK

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
7650 SE 27TH ST
SUITE 200
MERCER ISLAND, WA
ZIP 98040
Phone: (206) 236-5001
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LIBERTY DIALYSIS - OKLAHOMA CITY LLC is an end-stage renal disease (esrd) treatment clinic center in Mercer Island, WA. LIBERTY DIALYSIS - OKLAHOMA CITY LLC NPI is 1093984270. The provider is registered as an organization entity type.
The provider Is Doing Business As Liberty Dialysis - Woodland Park.

The provider's business location address is:

7650 SE 27TH ST
SUITE 200
MERCER ISLAND, WA
ZIP 98040-060
Phone: (206) 236-5001

The provider's authorized official is Ryan B Pardo .
The authorized official title is Vice President and has the following contact phone number (206) 236-5001.

The enumeration date for this NPI number is 2/21/2008 and was last updated on 2/21/2008.


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

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: 4/28/2024

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