LDFS LLC NPI 1790074516

NPI Information

NPI: 1790074516
Provider Name: LDFS LLC

Doing Business As: U.S. RENAL CARE FLAGSTAFF DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2268 N WALGREENS ST
FLAGSTAFF, AZ
ZIP 86004
Phone: (928) 556-5500
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LDFS LLC is an end-stage renal disease (esrd) treatment clinic center in Flagstaff, AZ. LDFS LLC NPI is 1790074516. The provider is registered as an organization entity type.
The provider Is Doing Business As U.s. Renal Care Flagstaff Dialysis.

The provider's business location address is:

2268 N WALGREENS ST
FLAGSTAFF, AZ
ZIP 86004-101
Phone: (928) 556-5500
Fax: (928) 556-5501

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

The enumeration date for this NPI number is 4/1/2011 and was last updated on 3/29/2016.

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
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	032636	MEDICARE OSCAR/CERTIFICATION	ARIZONA
2	815589	MEDICAID	ARIZONA

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: 4/28/2024

NPI Synchronization or Removal

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