UNIVERSITY KIDNEY CENTER BROADWAY LLC NPI 1871927293

NPI Information

NPI: 1871927293
Provider Name: UNIVERSITY KIDNEY CENTER BROADWAY LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 18D2063962

Address:
2821 WEST BROADWAY
LOUISVILLE, KY
ZIP 40211
Phone: (502) 774-8516
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UNIVERSITY KIDNEY CENTER BROADWAY LLC is an end-stage renal disease (esrd) treatment clinic center in Louisville, KY. UNIVERSITY KIDNEY CENTER BROADWAY LLC NPI is 1871927293. The provider is registered as an organization entity type.

The provider's business location address is:

2821 WEST BROADWAY
LOUISVILLE, KY
ZIP 40211-218
Phone: (502) 774-8516
Fax: (502) 774-8518

The provider's authorized official is Sara Anne Brady .
The authorized official title is Chief Nursing Officer and has the following contact phone number (208) 371-7878.

The CLIA number assigned to this NPI record is 18D2063962 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/22/2013 and was last updated on 1/11/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

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

NPI Synchronization or Removal

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