SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC NPI 1770758526

NPI Information

SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC is an end-stage renal disease (esrd) treatment clinic center in Phoenix, AZ. SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC NPI is 1770758526. The provider is registered as an organization entity type.
The provider Is Doing Business As Maryvale Dialysis Center.

The provider's business location address is:

4845 W MCDOWELL RD
STE 10A, 20A, 30A
PHOENIX, AZ
ZIP 85035-076
Phone: (602) 278-8349
Fax: (602) 272-2674

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 03D1084768 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2008 and was last updated on 6/24/2021.

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:

Other Identifiers

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