LDCD LLC NPI 1255643243

NPI Information

NPI: 1255643243
Provider Name: LDCD, LLC

Doing Business As: LIBERTY DIALYSIS CALDWELL

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 13D2013218

Address:
4620 ENTERPRISE WAY STE 101
CALDWELL, ID
ZIP 83605
Phone: (208) 454-1101
Get Directions

LDCD, LLC is an end-stage renal disease (esrd) treatment clinic center in Caldwell, ID. LDCD, LLC NPI is 1255643243. The provider is registered as an organization entity type.
The provider Is Doing Business As Liberty Dialysis Caldwell.

The provider's business location address is:

4620 ENTERPRISE WAY STE 101
CALDWELL, ID
ZIP 83605-764
Phone: (208) 454-1101
Fax: (208) 454-9868

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 13D2013218 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2010 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?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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