RANDOLPH DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Fort Wayne, IN. RANDOLPH DIALYSIS LLC NPI is 1659796233. The provider is registered as an organization entity type.
The provider Is Doing Business As Three Rivers Dialysis.
The provider's business location address is:
6721 OLD TRAIL RD
STE 100
FORT WAYNE, IN
ZIP 46809-655
Phone: (260) 478-8582
Fax: (260) 478-8566
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 15D2106423 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/19/2014 and was last updated on 12/15/2022.