IROQUOIS DIALYSIS LLC NPI 1306240551

NPI Information

IROQUOIS DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Riverside, CA. IROQUOIS DIALYSIS LLC NPI is 1306240551. The provider is registered as an organization entity type.
The provider Is Doing Business As Riverside Pd Central.

The provider's business location address is:

3660 PARK SIERRA DR
STE 108
RIVERSIDE, CA
ZIP 92505-071
Phone: (951) 687-3900
Fax: (951) 687-7998

The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 05D1071105 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2014 and was last updated on 7/5/2022.

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:

Other Identifiers

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