Organization · Type 2 NPI

Shetek Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Pasadena, CA

NPI number 1457742678 Active

Practice location

390 S Fair Oaks Ave, Ste 120
Pasadena, CA 91105-2540

Call (626) 564-2818 Map

Fax (626) 564-2889

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	None listed

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

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NPI record

NPI: 1457742678
Entity type: Organization (Type 2)
Issued: Feb 10, 2015
Last updated: Sep 16, 2024
Status: Active

Other names

<unavail>
Davita Huntington Dialysis · doing business as
Davita Huntington Dialysis · doing business as

Authorized official

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

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About NPI 1457742678

Shetek Dialysis LLC's National Provider Identifier is 1457742678, issued on Feb 10, 2015. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Pasadena, CA. The record was last updated on Sep 16, 2024.