NEPHROLOGY CENTER OF DETROIT LLC NPI 1528294691

NPI Information

NEPHROLOGY CENTER OF DETROIT LLC is an end-stage renal disease (esrd) treatment clinic center in Detroit, MI. NEPHROLOGY CENTER OF DETROIT LLC NPI is 1528294691. The provider is registered as an organization entity type.
The provider Is Doing Business As Wayne County Dialysis Center Llc.

The provider's business location address is:

20001 LIVERNOIS AVE STE 500
DETROIT, MI
ZIP 48221-123
Phone: (313) 861-0340
Fax: (313) 861-0342

The provider's authorized official is Shari Cousins .
The authorized official title is Sr. Vp Of Clinical & Regulatory and has the following contact phone number (978) 922-3080.

The CLIA number assigned to this NPI record is 23D1091917 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2009 and was last updated on 3/10/2020.

Taxonomy Codes

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