MOHANSIC DIALYSIS LLC NPI 1811454226

NPI Information

MOHANSIC DIALYSIS, LLC is an end-stage renal disease (esrd) treatment clinic center in Alexandria, VA. MOHANSIC DIALYSIS, LLC NPI is 1811454226. The provider is registered as an organization entity type.
The provider Is Doing Business As Fort Belvoir Dialysis.

The provider's business location address is:

8123 RICHMOND HWY
ALEXANDRIA, VA
ZIP 22309-613
Phone: (703) 619-3801
Fax: (703) 619-3805

The provider's authorized official is John D. Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-5401.

The CLIA number assigned to this NPI record is 49D2164934 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2019 and was last updated on 6/27/2022.

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:

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