Organization · Type 2 NPI

Shoshone Dialysis, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Chesterfield, MI

NPI number 1306239140 Active

Practice location

46360 Gratiot Ave
Chesterfield, MI 48051-2800

Fax (586) 949-5691

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

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

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About NPI 1306239140

Shoshone Dialysis, LLC's National Provider Identifier is 1306239140, issued on Mar 17, 2015. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Chesterfield, MI. The record was last updated on Dec 21, 2023.