Organization · Type 2 NPI
Legacy Dialysis of Reston Clinic
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Reston, VA
NPI number
1316643067
Active
Practice location
1800 Alexander Bell Dr Ste 160
Reston, VA 20191-5488
Fax (888) 349-8679
Mailing address
50 E Sample Rd Ste 301
Pompano Beach, FL 33064-3552
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 1316643067
Legacy Dialysis of Reston Clinic's National Provider Identifier is 1316643067, issued on Feb 3, 2023. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Reston, VA. The record was last updated on Apr 21, 2025.