ICELANDIC DIALYSIS LLC NPI 1366961138

NPI Information

ICELANDIC DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Medina, OH. ICELANDIC DIALYSIS LLC NPI is 1366961138. The provider is registered as an organization entity type.
The provider Is Doing Business As Medina Square Dialysis.

The provider's business location address is:

740 N COURT ST
MEDINA, OH
ZIP 44256-748
Phone: (330) 721-7824
Fax: (330) 721-9540

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

The enumeration date for this NPI number is 9/13/2017 and was last updated on 10/10/2022.

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:

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