USRC BLUE SPRUCE LLC NPI 1962159517

NPI Information

USRC BLUE SPRUCE LLC is an end-stage renal disease (esrd) treatment clinic center in Layton, UT. USRC BLUE SPRUCE LLC NPI is 1962159517. The provider is registered as an organization entity type.

The provider's business location address is:

756 N MAIN ST
LAYTON, UT
ZIP 84041-233
Phone: (801) 683-0679
Fax: (801) 938-3962

The provider's authorized official is Thomas L Weinberg .
The authorized official title is Chairman and has the following contact phone number (214) 736-2700.

The CLIA number assigned to this NPI record is 46D2258817 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/3/2022 and was last updated on 3/3/2022.

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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