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DIALYSIS NEWCO LLC NPI 1326321886


NPI Information

NPI: 1326321886
Provider Name: DIALYSIS NEWCO LLC

Doing Business As: U.S. RENAL CARE NORTHEAST PHOENIX DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 03D1006322

Address:
3305 E GREENWAY RD
SUITE 1
PHOENIX, AZ
ZIP 85032
Phone: (602) 765-3919
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DIALYSIS NEWCO LLC is an end-stage renal disease (esrd) treatment clinic center in Phoenix, AZ. DIALYSIS NEWCO LLC NPI is 1326321886. The provider is registered as an organization entity type.
The provider Is Doing Business As U.s. Renal Care Northeast Phoenix Dialysis.

The provider's business location address is:

3305 E GREENWAY RD
SUITE 1
PHOENIX, AZ
ZIP 85032-509
Phone: (602) 765-3919
Fax: (602) 765-9017

The provider's authorized official is Thomas L. Weinberg .
The authorized official title is Authorized Official and has the following contact phone number (214) 736-2700.

The CLIA number assigned to this NPI record is 03D1006322 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2011 and was last updated on 1/4/2021.


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) TreatmentOTC3999ARIZONAYes

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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