NPI:
1336317098
Provider Name:
LIBERTY DIALYSIS-CARSON CITY LLC
Doing Business As: LIBERTY DIALYSIS-CARSON CITY, LLC
Classification:
Clinic/Center - 261QE0700X
Entity Type:
Organization
Specialization: End-Stage Renal Disease (ESRD) Treatment
CLIA Number: 29D1093485
Address:
4500 S CARSON ST
CARSON CITY, NV
ZIP 89701
Phone:
(775) 461-7250
Get Directions
LIBERTY DIALYSIS-CARSON CITY LLC is an end-stage renal disease (esrd) treatment clinic center in Carson City, NV. LIBERTY DIALYSIS-CARSON CITY LLC NPI is 1336317098. The provider is registered as an organization entity type.
The provider Is Doing Business As Liberty Dialysis-carson City, Llc.
The provider's business location address is:
4500 S CARSON ST
CARSON CITY, NV
ZIP 89701-618
Phone: (775) 461-7250
Fax: (775) 841-2676
The provider's authorized official is Mark Fawcett .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.
The CLIA number assigned to this NPI record is 29D1093485 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/15/2008 and was last updated on 3/21/2024.