LITTLE ROCK DIALYSIS INC. NPI 1912019811

NPI Information

LITTLE ROCK DIALYSIS, INC. is an end-stage renal disease (esrd) treatment clinic center in Conway, AR. LITTLE ROCK DIALYSIS, INC. NPI is 1912019811. The provider is registered as an organization entity type.
The provider Is Doing Business As Conway Dialysis.

The provider's business location address is:

201 SKYLINE DR STE 32
CONWAY, AR
ZIP 72032-541
Phone: (501) 329-7715
Fax: (501) 329-8808

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 04D0642175 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/31/2021.

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:

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