Organization · Type 2 NPI
Tooele Mobile Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Tooele, UT
NPI number
1174833057
Active
Practice location
1298 E 850 N
Tooele, UT 84074-8914
Fax (801) 606-2950
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | 2010216 (UT) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Other end-stage renal disease (esrd) treatment clinic/center providers in Tooele
About NPI 1174833057
Tooele Mobile Dialysis LLC's National Provider Identifier is 1174833057, issued on Oct 13, 2010. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Tooele, UT. The record was last updated on Oct 13, 2010.