Organization · Type 2 NPI

Mattapan Dialysis LLC

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

NPI number 1386298560 Active

Practice location

5144 Riverdale Rd Ste 103
Memphis, TN 38141-0271

Call (901) 752-5425 Map

Fax (901) 752-5516

Mailing address

5200 Virginia Way, Att: L&c Dept
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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NPI record

NPI: 1386298560
Entity type: Organization (Type 2)
Issued: Jul 26, 2019
Last updated: May 14, 2025
Status: Active

Other names

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Riverdale Home Training · doing business as
Riverdale Home Training · doing business as

Authorized official

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

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About NPI 1386298560

Mattapan Dialysis LLC's National Provider Identifier is 1386298560, issued on Jul 26, 2019. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Memphis, TN. The record was last updated on May 14, 2025.