MORRISON DIALYSIS LLC NPI 1578009395

NPI Information

NPI: 1578009395
Provider Name: MORRISON DIALYSIS LLC

Doing Business As: ROCKBRIDGE DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
8032 ROCKBRIDGE RD
LITHONIA, GA
ZIP 30058
Phone: (678) 526-8340
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MORRISON DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Lithonia, GA. MORRISON DIALYSIS LLC NPI is 1578009395. The provider is registered as an organization entity type.
The provider Is Doing Business As Rockbridge Dialysis.

The provider's business location address is:

8032 ROCKBRIDGE RD
LITHONIA, GA
ZIP 30058-882
Phone: (678) 526-8340
Fax: (770) 482-4671

The provider's authorized official is Samuel T 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 11D2127097 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2017 and was last updated on 11/27/2023.

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		GEORGIA	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	Other Provider Identifier Issuer
1	003202192A	MEDICAID	GEORGIA

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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