LATHROP DIALYSIS LLC NPI 1831446624

NPI Information

LATHROP DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Fort Worth, TX. LATHROP DIALYSIS LLC NPI is 1831446624. The provider is registered as an organization entity type.
The provider Is Doing Business As North Fort Worth Dialysis.

The provider's business location address is:

3812 E BELKNAP ST
FORT WORTH, TX
ZIP 76111-012
Phone: (682) 647-0013
Fax: (682) 647-1494

The provider's authorized official is John Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 45D2051929 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2012 and was last updated on 5/6/2021.

Taxonomy Codes

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Other Identifiers

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