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MULDOON DEVELOPMENT PARTNERS LLC NPI 1639554017


NPI Information

NPI: 1639554017
Provider Name: MULDOON DEVELOPMENT PARTNERS, LLC

Doing Business As: TUDOR DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 02D2102099

Address:
2735 E TUDOR RD
ANCHORAGE, AK
ZIP 99507
Phone: (907) 562-1546
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MULDOON DEVELOPMENT PARTNERS, LLC is an end-stage renal disease (esrd) treatment clinic center in Anchorage, AK. MULDOON DEVELOPMENT PARTNERS, LLC NPI is 1639554017. The provider is registered as an organization entity type.
The provider Is Doing Business As Tudor Dialysis.

The provider's business location address is:

2735 E TUDOR RD
ANCHORAGE, AK
ZIP 99507-135
Phone: (907) 562-1546
Fax: (907) 562-1526

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 02D2102099 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2015 and was last updated on 8/23/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentALASKAYes

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: 11/14/2023

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