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KIDNEY LIFE LLC NPI 1598799512


NPI Information

NPI: 1598799512
Provider Name: KIDNEY LIFE, LLC

Doing Business As: SOMERSET DIALYSIS CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 31D1017885

Address:
240 CHURCHILL AVE
SOMERSET, NJ
ZIP 08873
Phone: (732) 937-5000
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KIDNEY LIFE, LLC is an end-stage renal disease (esrd) treatment clinic center in Somerset, NJ. KIDNEY LIFE, LLC NPI is 1598799512. The provider is registered as an organization entity type.
The provider Is Doing Business As Somerset Dialysis Center.

The provider's business location address is:

240 CHURCHILL AVE
SOMERSET, NJ
ZIP 08873-451
Phone: (732) 937-5000
Fax: (732) 937-5872

The provider's authorized official is Samuel Wey .
The authorized official title is Vp Licensure & Certification and has the following contact phone number (615) 320-4414.

The CLIA number assigned to this NPI record is 31D1017885 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 12/12/2023.


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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment23185NEW JERSEYYes

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: 5/5/2024

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