ISD RENAL INC is an end-stage renal disease (esrd) treatment clinic center in Philadelphia, PA. ISD RENAL INC NPI is 1134640949. The provider is registered as an organization entity type.
The provider Is Doing Business As Fairmount Dialysis.
The provider's business location address is:
1236 N 26TH ST
PHILADELPHIA, PA
ZIP 19121-602
Phone: (215) 763-3974
Fax: (215) 765-1494
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 39D2138173 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/30/2017 and was last updated on 8/7/2020.