Organization · Type 2 NPI
South Mountain Dialysis, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · South Jordan, UT
NPI number
1033159488
Active
Practice location
10969 S River Front Pkwy
South Jordan, UT 84095-3538
Fax (801) 253-3303
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...
About NPI 1033159488
South Mountain Dialysis, LLC's National Provider Identifier is 1033159488, issued on Jun 7, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in South Jordan, UT. The record was last updated on Aug 26, 2026.