LIBERTY DIALYSIS - HAWAII LLC NPI 1821355504

NPI Information

LIBERTY DIALYSIS - HAWAII LLC is an end-stage renal disease (esrd) treatment clinic center in Honolulu, HI. LIBERTY DIALYSIS - HAWAII LLC NPI is 1821355504. The provider is registered as an organization entity type.
The provider Is Doing Business As Liberty Dialysis Hawaii - Hawaii Kai Dialysis.

The provider's business location address is:

7192 KALANIANAOLE HWY STE Q101
HONOLULU, HI
ZIP 96825-850
Phone: (808) 394-6274
Fax: (808) 394-6503

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 12D2170674 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/18/2012 and was last updated on 10/17/2023.

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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