PHOENIX PEDIATRIC DIALYSIS CENTER LLC NPI 1841734720

NPI Information

PHOENIX PEDIATRIC DIALYSIS CENTER LLC is an end-stage renal disease (esrd) treatment clinic center in Phoenix, AZ. PHOENIX PEDIATRIC DIALYSIS CENTER LLC NPI is 1841734720. The provider is registered as an organization entity type.
The provider Is Doing Business As Pediatric Dialysis Center Of Phoenix.

The provider's business location address is:

2545 E THOMAS RD
SUITE 100
PHOENIX, AZ
ZIP 85016-969
Phone: (602) 957-1648
Fax: (602) 957-2196

The provider's authorized official is Shari K Cousins .
The authorized official title is Sr. Vp Of Clinical & Regulatory and has the following contact phone number (978) 922-3080.

The CLIA number assigned to this NPI record is 03D1088273 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/12/2016 and was last updated on 3/12/2020.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.