BLAKE DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Milwaukee, WI. BLAKE DIALYSIS LLC NPI is 1659714558. The provider is registered as an organization entity type.
The provider Is Doing Business As Capitol Court Dialysis.
The provider's business location address is:
4176 N 56TH ST
MILWAUKEE, WI
ZIP 53216-276
Phone: (414) 445-2119
Fax: (414) 445-3794
The provider's authorized official is John Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.
The CLIA number assigned to this NPI record is 52D2058155 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/10/2013 and was last updated on 2/24/2022.