PURIDIA LLC NPI 1265050264

NPI Information

NPI: 1265050264
Provider Name: PURIDIA LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2121 E FLAMINGO RD STE 102
LAS VEGAS, NV
ZIP 89119
Phone: (808) 312-8059
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PURIDIA LLC is an end-stage renal disease (esrd) treatment clinic center in Las Vegas, NV. PURIDIA LLC NPI is 1265050264. The provider is registered as an organization entity type.

The provider's business location address is:

2121 E FLAMINGO RD STE 102
LAS VEGAS, NV
ZIP 89119-123
Phone: (808) 312-8059

The provider's authorized official is Adam Bagley .
The authorized official title is Founder/cfo and has the following contact phone number (808) 312-8059.

The enumeration date for this NPI number is 7/7/2020 and was last updated on 7/7/2020.

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

NPI Synchronization or Removal

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