RENAL DIMENSIONS LLC NPI 1487756656

NPI Information

RENAL DIMENSIONS, LLC is an end-stage renal disease (esrd) treatment clinic center in Peridot, AZ. RENAL DIMENSIONS, LLC NPI is 1487756656. The provider is registered as an organization entity type.
The provider Is Doing Business As Renal Care Group San Carlos.

The provider's business location address is:

860 US HIGHWAY 70
PERIDOT, AZ
ZIP 85542-748
Phone: (928) 475-5987
Fax: (928) 475-5708

The provider's authorized official is Barry L. Blanton .
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 03D1008810 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 10/17/2023.

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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