SCOTTSDALE KIDNEY CENTER LLC NPI 1649730953

NPI Information

NPI: 1649730953
Provider Name: SCOTTSDALE KIDNEY CENTER LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 03D2162477

Address:
6970 E CHAUNCEY LN STE 130
PHOENIX, AZ
ZIP 85054
Phone: (480) 515-2160
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SCOTTSDALE KIDNEY CENTER LLC is an end-stage renal disease (esrd) treatment clinic center in Phoenix, AZ. SCOTTSDALE KIDNEY CENTER LLC NPI is 1649730953. The provider is registered as an organization entity type.

The provider's business location address is:

6970 E CHAUNCEY LN STE 130
PHOENIX, AZ
ZIP 85054-159
Phone: (480) 515-2160
Fax: (480) 515-2161

The provider's authorized official is Sara Anne Brady .
The authorized official title is Chief Nursing Officer and has the following contact phone number (208) 371-7878.

The CLIA number assigned to this NPI record is 03D2162477 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2019 and was last updated on 1/11/2023.

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			Yes

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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