Organization · Type 2 NPI

Dome Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Westerville, OH

NPI number 1053689216 Active

Practice location

241 W Schrock Rd
Westerville, OH 43081-2874

Call (614) 882-1734 Map

Fax (614) 882-4529

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...

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

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NPI record

NPI: 1053689216
Entity type: Organization (Type 2)
Issued: Dec 2, 2011
Last updated: Nov 17, 2025
Status: Active

Other names

<unavail>
Park Side Dialysis · doing business as
Park Side Dialysis · doing business as

Authorized official

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

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About NPI 1053689216

Dome Dialysis LLC's National Provider Identifier is 1053689216, issued on Dec 2, 2011. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Westerville, OH. The record was last updated on Nov 17, 2025.