KINGSTON DIALYSIS LLC NPI 1164890604

NPI Information

KINGSTON DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Lakewood, CO. KINGSTON DIALYSIS LLC NPI is 1164890604. The provider is registered as an organization entity type.
The provider Is Doing Business As Mile High Home Dialysis.

The provider's business location address is:

1750 PIERCE ST STE A
LAKEWOOD, CO
ZIP 80214
Phone: (303) 232-0939
Fax: (303) 274-6096

The provider's authorized official is John 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 06D0998815 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2015 and was last updated on 8/19/2020.

Taxonomy Codes

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Other Identifiers

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