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LAS VEGAS PEDIATRIC DIALYSIS LLC NPI 1952570590


NPI Information

NPI: 1952570590
Provider Name: LAS VEGAS PEDIATRIC DIALYSIS LLC

Doing Business As: LAS VEGAS PEDIATRICS DIALYSIS CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
7271 W SAHARA AVE STE 120
LAS VEGAS, NV
ZIP 89117
Phone: (702) 227-3049
Get Directions

LAS VEGAS PEDIATRIC DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Las Vegas, NV. LAS VEGAS PEDIATRIC DIALYSIS LLC NPI is 1952570590. The provider is registered as an organization entity type.
The provider Is Doing Business As Las Vegas Pediatrics Dialysis Center.

The provider's business location address is:

7271 W SAHARA AVE STE 120
LAS VEGAS, NV
ZIP 89117-862
Phone: (702) 227-3049
Fax: (702) 227-8882

The provider's authorized official is John Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The enumeration date for this NPI number is 2/28/2008 and was last updated on 6/1/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment5251ESRNEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11952570590MEDICAIDNEVADA

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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