LOGAN DIALYSIS CENTER LLC is an end-stage renal disease (esrd) treatment clinic center in Logan, OH. LOGAN DIALYSIS CENTER LLC NPI is 1407030802. The provider is registered as an organization entity type.
The provider's business location address is:
12900 STATE ROUTE 664 S
LOGAN, OH
ZIP 43138-261
Phone: (740) 385-6300
Fax: (740) 385-8400
The provider's authorized official is Christopher T Ford .
The authorized official title is Chairman and has the following contact phone number (978) 922-3080.
The CLIA number assigned to this NPI record is 36D1081485 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/20/2007 and was last updated on 12/20/2007.