Organization · Type 2 NPI
Logan Dialysis Center LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Logan, OH
NPI number
1407030802
Active
Practice location
12900 State Route 664 S
Logan, OH 43138-9261
Fax (740) 385-8400
Mailing address
66 Cherry Hill Dr, Suite 200
Beverly, MA 01915-1054
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...
Other end-stage renal disease (esrd) treatment clinic/center providers in Logan
About NPI 1407030802
Logan Dialysis Center LLC's National Provider Identifier is 1407030802, issued on Dec 20, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Logan, OH. The record was last updated on Dec 20, 2007.