Organization · Type 2 NPI

Cerito Dialysis Partners LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Cordova, TN

NPI number 1073839296 Active

Practice location

7990 Trinity Rd, Ste 101
Cordova, TN 38018-7731

Call (901) 751-3120 Map

Fax (901) 751-3223

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	202 (TN)

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

Another provider at this address

Thomas Ray Stanley, FNPFamily Nurse Practitioner Cordova, TN NPI 1346497435

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

See all in Cordova →

NPI record

NPI: 1073839296
Entity type: Organization (Type 2)
Issued: Apr 13, 2010
Last updated: Sep 16, 2026
Status: Active

Other names

<unavail>
Wolf River Dialysis · doing business as
Wolf River 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.

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About NPI 1073839296

Cerito Dialysis Partners LLC's National Provider Identifier is 1073839296, issued on Apr 13, 2010. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Cordova, TN. The record was last updated on Sep 16, 2026.