DCA OF HYATTSVILLE LLC NPI 1780822106

NPI Information

DCA OF HYATTSVILLE LLC is an end-stage renal disease (esrd) treatment clinic center in Hyattsville, MD. DCA OF HYATTSVILLE LLC NPI is 1780822106. The provider is registered as an organization entity type.
The provider Is Doing Business As U S Renal Care Hyattsville Dialysis.

The provider's business location address is:

4920 LASALLE RD
HYATTSVILLE, MD
ZIP 20782-302
Phone: (301) 864-2333
Fax: (301) 864-5790

The provider's authorized official is Thomas L. Weinberg .
The authorized official title is Vice President & Secretary and has the following contact phone number (214) 736-2700.

The CLIA number assigned to this NPI record is 21D1098770 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/22/2009 and was last updated on 10/25/2013.

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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