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LIBERTY DIALYSIS - ALASKA LLC NPI 1841468535


NPI Profile

NPI: 1841468535
Provider Name: LIBERTY DIALYSIS - ALASKA LLC
Classification:Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 02D1089823

Address:
901 E DIMOND BLVD
ANCHORAGE, AK
ZIP 99515
Get Directions

Phone: (907) 522-9009

LIBERTY DIALYSIS - ALASKA LLC is an end-stage renal disease (esrd) treatment clinic center in Anchorage, AK. LIBERTY DIALYSIS - ALASKA LLC NPI is 1841468535. The provider is registered as an organization entity type.

The provider's business location address is:

901 E DIMOND BLVD
ANCHORAGE, AK
ZIP 99515-007
Phone: (907) 522-9009

The provider's authorized official is Thomas L. Weinberg .
The authorized official title is Authorized Official and has the following contact phone number (214) 736-2730.

The CLIA number assigned to this NPI record is 02D1089823 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2008 and was last updated on 11/2/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/11/2021

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