GADC LLC NPI 1467852186

NPI Information

NPI: 1467852186
Provider Name: GADC LLC

Doing Business As: LIBERTY DIALYSIS - GASTON AVENUE

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
3417 GASTON AVE STE 180
DALLAS, TX
ZIP 75246
Phone: (214) 736-2700
Get Directions

GADC LLC is an end-stage renal disease (esrd) treatment clinic center in Dallas, TX. GADC LLC NPI is 1467852186. The provider is registered as an organization entity type.
The provider Is Doing Business As Liberty Dialysis - Gaston Avenue.

The provider's business location address is:

3417 GASTON AVE STE 180
DALLAS, TX
ZIP 75246-016
Phone: (214) 736-2700

The provider's authorized official is Yugandhar Chimata .
The authorized official title is Member and has the following contact phone number (206) 236-5001.

The CLIA number assigned to this NPI record is 45D2102371 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2014 and was last updated on 1/25/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	110408	OTHER	TEXAS	STATE LICENSURE

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: 11/14/2023

NPI Synchronization or Removal

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