RENAL DIMENSIONS LLC NPI 1821171026

NPI Information

  • NPI: 1821171026
  • Provider Name: RENAL DIMENSIONS, LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: RENAL CARE GROUP-SOUTHEAST VALLEY
  • Address: 22715 S ELLSWORTH RD
    BUILDING D
    QUEEN CREEK, AZ
    ZIP 85242
  • Phone: (480) 677-2463

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NPI Details

RENAL DIMENSIONS, LLC is an end-stage renal disease (esrd) treatment clinic center in Queen Creek, AZ. RENAL DIMENSIONS, LLC NPI is 1821171026. The provider is registered as an organization entity type.
The provider Is Doing Business As Renal Care Group-southeast Valley.

The provider's business location address is:

22715 S ELLSWORTH RD
BUILDING D
QUEEN CREEK, AZ
ZIP 85242-119
Phone: (480) 677-2463

The provider's authorized official is Mark Fawcett .
The authorized official title is Treasurer and has the following contact phone number (781) 402-9000.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 8/22/2020.

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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

What is NPI?

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This page was last updated on: 11/21/2025

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