DIALYSIS SERVICES OF SOUTHEAST ALASKA LLC NPI 1215049010

NPI Information

DIALYSIS SERVICES OF SOUTHEAST ALASKA, LLC is an end-stage renal disease (esrd) treatment clinic center in Juneau, AK. DIALYSIS SERVICES OF SOUTHEAST ALASKA, LLC NPI is 1215049010. The provider is registered as an organization entity type.
The provider Is Doing Business As Reifenstein Dialysis Center.

The provider's business location address is:

9109 MENDENHALL MALL RD STE 6
JUNEAU, AK
ZIP 99801-136
Phone: (907) 790-3002
Fax: (907) 790-3014

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 02D1022168 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/10/2021.

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:

Other Identifiers

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