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EAVERS DIALYSIS LLC NPI 1295312197


NPI Information

NPI: 1295312197
Provider Name: EAVERS DIALYSIS LLC

Doing Business As: FRESNO METRO DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 05D2223139

Address:
4679 W SPRUCE AVE
STE 101
FRESNO, CA
ZIP 93722
Phone: (559) 899-2360
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EAVERS DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Fresno, CA. EAVERS DIALYSIS LLC NPI is 1295312197. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresno Metro Dialysis.

The provider's business location address is:

4679 W SPRUCE AVE
STE 101
FRESNO, CA
ZIP 93722-425
Phone: (559) 899-2360
Fax: (559) 899-0878

The provider's authorized official is Samuel T. Wey .
The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 05D2223139 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/26/2021 and was last updated on 3/20/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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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