Organization · Type 2 NPI
Southeastern Renal Dialysis L.c.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Keokuk, IA
NPI number
1083670988
Active
Practice location
1419 Morgan St
Keokuk, IA 52632-4027
Fax (319) 524-2188
Mailing address
507 S White St
Mount Pleasant, IA 52641-2625
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 1083670988
Southeastern Renal Dialysis L.c.'s National Provider Identifier is 1083670988, issued on Apr 21, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Keokuk, IA. The record was last updated on Mar 16, 2012.