SOUTHLAKE DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Broken Arrow, OK. SOUTHLAKE DIALYSIS LLC NPI is 1568708279. The provider is registered as an organization entity type.
The provider Is Doing Business As Broken Arrow Dialysis Facility.
The provider's business location address is:
1710 N 9TH ST
BROKEN ARROW, OK
ZIP 74012-283
Phone: (918) 355-0657
Fax: (918) 355-2800
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 enumeration date for this NPI number is 12/27/2012 and was last updated on 10/24/2023.