MESILLA DIALYSIS LLC NPI 1831415918

NPI Information

MESILLA DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Urbana, OH. MESILLA DIALYSIS LLC NPI is 1831415918. The provider is registered as an organization entity type.
The provider Is Doing Business As Midwest Urbana Dialysis.

The provider's business location address is:

1430 E US HIGHWAY 36
URBANA, OH
ZIP 43078-112
Phone: (937) 484-4600
Fax: (937) 484-4407

The provider's authorized official is Samuel T Wey .
The authorized official title is Sr Director Licensure&certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 36D1080823 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/14/2010 and was last updated on 9/15/2023.

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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