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USRC SOUTH ARLINGTON LLC NPI 1861015067


NPI Information

NPI: 1861015067
Provider Name: USRC SOUTH ARLINGTON, LLC

Doing Business As: PREMIER DIALYSIS - SOUTH ARLINGTON

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 45D2180567

Address:
801 E BORDER ST STE 151
ARLINGTON, TX
ZIP 76010
Phone: (817) 539-6744
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USRC SOUTH ARLINGTON, LLC is an end-stage renal disease (esrd) treatment clinic center in Arlington, TX. USRC SOUTH ARLINGTON, LLC NPI is 1861015067. The provider is registered as an organization entity type.
The provider Is Doing Business As Premier Dialysis - South Arlington.

The provider's business location address is:

801 E BORDER ST STE 151
ARLINGTON, TX
ZIP 76010-494
Phone: (817) 539-6744

The provider's authorized official is Thomas L. Weinberg .
The authorized official title is Chairman/president and has the following contact phone number (214) 736-2732.

The CLIA number assigned to this NPI record is 45D2180567 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2020 and was last updated on 7/24/2023.


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:

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: 4/28/2024

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