Organization · Type 2 NPI

Leoti Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Hoover, AL

NPI number 1114610318 Active

Practice location

1837 Montgomery Hwy Ste 109
Hoover, AL 35244-2508

Call (659) 272-0001 Map

Fax (659) 272-0019

Mailing address

5200 Virginia Way, Att: L&c Specialist
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...

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NPI record

NPI: 1114610318
Entity type: Organization (Type 2)
Issued: Jun 1, 2023
Last updated: Oct 30, 2025
Status: Active

Other names

<unavail>
Chace Lake Dialysis · doing business as
Chace Lake Dialysis · doing business as

Authorized official

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

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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 1114610318

Leoti Dialysis LLC's National Provider Identifier is 1114610318, issued on Jun 1, 2023. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Hoover, AL. The record was last updated on Oct 30, 2025.