SJLS LLC NPI 1235376633

NPI Information

NPI: 1235376633
Provider Name: SJLS, LLC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: ST. JOSEPH'S DIALYSIS - CORTLAND
CLIA Number: 33D1065601
Address: 3993 WEST RD
CORTLAND, NY
ZIP 13045
Phone: (607) 662-0140

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NPI Details

SJLS, LLC is an end-stage renal disease (esrd) treatment clinic center in Cortland, NY. SJLS, LLC NPI is 1235376633. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Joseph's Dialysis - Cortland.

The provider's business location address is:

3993 WEST RD
CORTLAND, NY
ZIP 13045-850
Phone: (607) 662-0140
Fax: (607) 662-0519

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 33D1065601 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/7/2009 and was last updated on 10/17/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

What is NPI?

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This page was last updated on: 3/30/2025

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