GREATER LAS VEGAS DIALYSIS LLC NPI 1538121793

NPI Information

GREATER LAS VEGAS DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Las Vegas, NV. GREATER LAS VEGAS DIALYSIS LLC NPI is 1538121793. The provider is registered as an organization entity type.
The provider Is Doing Business As Las Vegas Dialysis Center.

The provider's business location address is:

150 S VALLEY VIEW BLVD
LAS VEGAS, NV
ZIP 89107-110
Phone: (702) 878-0908
Fax: (702) 878-8292

The provider's authorized official is Samuel Wey .
The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 29D2262198 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2006 and was last updated on 4/11/2024.

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:

Other Identifiers

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