Organization · Type 2 NPI

Clinton Township Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Clinton Township, MI

NPI number 1013101310 Active

Practice location

15918 19 Mile Rd, Ste 110
Clinton Township, MI 48038-1101

Call (586) 412-9195 Map

Fax (586) 412-9196

Mailing address

5200 Virginia Way, Att: L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

Another provider at this address

Joseph PiechockiPhysical Therapist Clinton Township, MI NPI 1548370034

Other end-stage renal disease (esrd) treatment clinic/center providers in Clinton Township

See all in Clinton Township →

NPI record

NPI: 1013101310
Entity type: Organization (Type 2)
Issued: Aug 29, 2007
Last updated: Feb 16, 2024
Status: Active

Other names

<unavail>
Clinton Township Dialysis · doing business as
Clinton Township Dialysis · doing business as

Authorized official

Samuel T Wey
VP Licensure & Certification
(615) 341-6641

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1013101310

Clinton Township Dialysis LLC's National Provider Identifier is 1013101310, issued on Aug 29, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Clinton Township, MI. The record was last updated on Feb 16, 2024.