NPI:
1144262692
Provider Name:
LIBERTY DIALYSIS-WASHINGTON LLC
Doing Business As: LIBERTY DIALYSIS-WASHINGTON, LLC
Classification:
Clinic/Center - 261QE0700X
Entity Type:
Organization
Specialization: End-Stage Renal Disease (ESRD) Treatment
CLIA Number: 39D1056617
Address:
90 W CHESTNUT ST
WASHINGTON, PA
ZIP 15301
Phone:
(724) 228-7398
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LIBERTY DIALYSIS-WASHINGTON LLC is an end-stage renal disease (esrd) treatment clinic center in Washington, PA. LIBERTY DIALYSIS-WASHINGTON LLC NPI is 1144262692. The provider is registered as an organization entity type.
The provider Is Doing Business As Liberty Dialysis-washington, Llc.
The provider's business location address is:
90 W CHESTNUT ST
WASHINGTON, PA
ZIP 15301-524
Phone: (724) 228-7398
Fax: (724) 228-7563
The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.
The CLIA number assigned to this NPI record is 39D1056617 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/11/2006 and was last updated on 10/17/2023.