MANZANO DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Fairborn, OH. MANZANO DIALYSIS LLC NPI is 1306162581. The provider is registered as an organization entity type.
The provider Is Doing Business As Midwest Fairborn Dialysis.
The provider's business location address is:
1266 N BROAD ST
FAIRBORN, OH
ZIP 45324-549
Phone: (937) 879-0433
Fax: (937) 879-0589
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 36D0996727 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/14/2010 and was last updated on 4/23/2024.