DRESHER DIALYSIS LLC NPI 1598169310

NPI Information

NPI: 1598169310
Provider Name: DRESHER DIALYSIS LLC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
:
CLIA Number: 21D2092373
Address: 3424 DONNELL DR
FORESTVILLE, MD
ZIP 20747
Phone: (301) 568-0381

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NPI Details

DRESHER DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Forestville, MD. DRESHER DIALYSIS LLC NPI is 1598169310. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

3424 DONNELL DR
FORESTVILLE, MD
ZIP 20747-209
Phone: (301) 568-0381
Fax: (301) 736-1704

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 21D2092373 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/22/2014 and was last updated on 9/16/2025.

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	E2695	MARYLAND	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	E2695	OTHER	MARYLAND	STATE LICENSE
2	4238893 00	MEDICAID	MARYLAND

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: 11/21/2025

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