Organization · Type 2 NPI

Dialysis Newco LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Mesa, AZ

NPI number 1093098550 Active

Practice location

1457 W Southern Ave, Suite D-19
Mesa, AZ 85202-4813

Call (480) 894-5411 Map

Fax (480) 894-2607

Mailing address

PO Box 251549
Plano, TX 75025-1500

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	OTC3850 (AZ)

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

3 other providers at this address

Insight Health CorporationPhysiological Laboratory Mesa, AZ NPI 1649249061
San Tan Mobile Diagnostics LLCPhysiological Laboratory Mesa, AZ NPI 1982093076
Christy Holmstrom, RRAVascular-Interventional Technology Radiologic Technologist Mesa, AZ NPI 1013361625

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NPI record

NPI: 1093098550
Entity type: Organization (Type 2)
Issued: Sep 21, 2011
Last updated: Jan 4, 2021
Status: Active
Subpart: Yes of U.s. Renal Care, Inc.

Other names

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U.s. Renal Care Southwest Mesa Dialysis · doing business as
U.s. Renal Care Southwest Mesa Dialysis · doing business as

Authorized official

Thomas L. Weinberg
Authorized Official
(214) 736-2700

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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 1093098550

Dialysis Newco LLC's National Provider Identifier is 1093098550, issued on Sep 21, 2011. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Mesa, AZ. The record was last updated on Jan 4, 2021.