NPI: 1659313278
Provider Name: LIBERTY DIALYSIS-BANKSVILLE LLC
Doing Business As: LIBERTY DIALYSIS-BANKSVILLE, LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization
Specialization: End-Stage Renal Disease (ESRD) Treatment
CLIA Number: 39D1054444
Address:
2875 BANKSVILLE RD
PITTSBURGH, PA
ZIP 15216
Phone: (412) 343-3060
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LIBERTY DIALYSIS-BANKSVILLE LLC is an end-stage renal disease (esrd) treatment clinic center in Pittsburgh, PA. LIBERTY DIALYSIS-BANKSVILLE LLC NPI is 1659313278. The provider is registered as an organization entity type.
The provider Is Doing Business As Liberty Dialysis-banksville, Llc.
The provider's business location address is:
2875 BANKSVILLE RD
PITTSBURGH, PA
ZIP 15216-815
Phone: (412) 343-3060
Fax: (412) 343-3618
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 39D1054444 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/11/2006 and was last updated on 10/12/2023.