Organization · Type 2 NPI

Latrobe Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Johnson City, TN

NPI number 1184994576 Active

Practice location

2320 Knob Creek Rd Ste 408
Johnson City, TN 37604-2581

Call (423) 232-1969 Map

Fax (423) 232-0320

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	158 (TN)

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

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NPI record

NPI: 1184994576
Entity type: Organization (Type 2)
Issued: Jan 3, 2012
Last updated: Sep 21, 2026
Status: Active

Other names

<unavail>
TN Smokie Mountain Dialysis · doing business as
TN Smokie Mountain Dialysis · doing business as

Authorized official

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

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About NPI 1184994576

Latrobe Dialysis LLC's National Provider Identifier is 1184994576, issued on Jan 3, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Johnson City, TN. The record was last updated on Sep 21, 2026.