ADVANCED DIALYSIS CENTER LLC NPI 1811095722

NPI Information

NPI: 1811095722
Provider Name: ADVANCED DIALYSIS CENTER, LLC
Classification: Registered Nurse - 163WH0500X
Entity Type: Organization

Specialization: Hemodialysis

Address:
1785 N HAYES STREET
ADVANCED DIALYSIS CENTER POTOMAC
ARLINGTON, VA
ZIP 22202
Phone: (703) 521-1056
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ADVANCED DIALYSIS CENTER, LLC is a hemodialysis registered nurse in Arlington, VA. ADVANCED DIALYSIS CENTER, LLC NPI is 1811095722. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1785 N HAYES STREET
ADVANCED DIALYSIS CENTER POTOMAC
ARLINGTON, VA
ZIP 22202
Phone: (703) 521-1056
Fax: (703) 521-1058

The provider's authorized official is Minessia Zarita Pearson .
The authorized official title is Chief Financial Officer and has the following contact phone number (301) 577-1007.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 1/19/2016.

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	163WH0500X	Registered Nurse	Hemodialysis	E2642R	MARYLAND	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	492635	MEDICARE OSCAR/CERTIFICATION

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: 5/5/2024

NPI Synchronization or Removal

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