NRA-ST. LOUIS, MISSOURI, LLC is an end-stage renal disease (esrd) treatment clinic center in Saint Louis, MO. NRA-ST. LOUIS, MISSOURI, LLC NPI is 1548201874. The provider is registered as an organization entity type.
The provider Is Doing Business As Forest Park Dialysis Clinic.
The provider's business location address is:
2635 HAMPTON AVE
SAINT LOUIS, MO
ZIP 63139-912
Phone: (314) 646-1717
Fax: (314) 646-0636
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 26D1053303 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/9/2006 and was last updated on 10/17/2023.