DCI RENAL SERVICES OF PITTSBURGH LLC NPI 1558394932

NPI Information

NPI: 1558394932
Provider Name: DCI RENAL SERVICES OF PITTSBURGH LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 39D0936636

Address:
2727 BANKSVILLE RD
PITTSBURGH, PA
ZIP 15216
Phone: (412) 341-7410
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DCI RENAL SERVICES OF PITTSBURGH LLC is an end-stage renal disease (esrd) treatment clinic center in Pittsburgh, PA. DCI RENAL SERVICES OF PITTSBURGH LLC NPI is 1558394932. The provider is registered as an organization entity type.

The provider's business location address is:

2727 BANKSVILLE RD
PITTSBURGH, PA
ZIP 15216-813
Phone: (412) 341-7410
Fax: (412) 341-7420

The provider's authorized official is Donovan Schultz .
The authorized official title is President and has the following contact phone number (615) 327-3061.

The CLIA number assigned to this NPI record is 39D0936636 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 8/11/2023.

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:

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
1	1551520	MEDICAID	PENNSYLVANIA
2	1022869480006	MEDICAID	PENNSYLVANIA
3	2368307	MEDICAID	OHIO

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: 4/28/2024

NPI Synchronization or Removal

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