SOUTHWEST KIDNEY DIALYSIS LLC NPI 1770700171

NPI Information

  • NPI: 1770700171
  • Provider Name: SOUTHWEST KIDNEY DIALYSIS, LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Address: 20325 N 51ST AVE
    BUILDING 11, SUITE 186
    GLENDALE, AZ
    ZIP 85308
  • Phone: (623) 533-6521

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NPI Details

SOUTHWEST KIDNEY DIALYSIS, LLC is an end-stage renal disease (esrd) treatment clinic center in Glendale, AZ. SOUTHWEST KIDNEY DIALYSIS, LLC NPI is 1770700171. The provider is registered as an organization entity type.

The provider's business location address is:

20325 N 51ST AVE
BUILDING 11, SUITE 186
GLENDALE, AZ
ZIP 85308-674
Phone: (623) 533-6521
Fax: (623) 533-6579

The provider's authorized official is Michelle Mauvais .
The authorized official title is Cheif Financial Officer and has the following contact phone number (480) 610-6110.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 9/24/2007.

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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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: 3/30/2025

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