Organization · Type 2 NPI
Isd Renal Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fort Wayne, IN
NPI number
1174579551
Active
Practice location
3909 Lake Ave
Fort Wayne, IN 46805-5545
Fax (260) 424-2036
Mailing address
5200 Virginia Way, Licensure & Certification
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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About NPI 1174579551
Isd Renal Inc's National Provider Identifier is 1174579551, issued on May 26, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 3, 2012.