RENAL TREATMENT CENTERS SOUTHEAST LP NPI 1992134340

NPI Information

RENAL TREATMENT CENTERS SOUTHEAST LP is an end-stage renal disease (esrd) treatment clinic center in Birmingham, AL. RENAL TREATMENT CENTERS SOUTHEAST LP NPI is 1992134340. The provider is registered as an organization entity type.
The provider Is Doing Business As Greystone Dialysis.

The provider's business location address is:

5406 HIGHWAY 280
SUITE D107
BIRMINGHAM, AL
ZIP 35242-592
Phone: (205) 981-2045
Fax: (205) 408-5116

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 CLIA number assigned to this NPI record is 01D2073294 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2013 and was last updated on 4/22/2020.

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:

Other Identifiers

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

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