Organization · Type 2 NPI
Myrtle Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Hudson, WI
NPI number
1487046652
Active
Practice location
421 Stageline Rd
Hudson, WI 54016-7848
Fax (715) 381-8454
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...
Other end-stage renal disease (esrd) treatment clinic/center providers in Hudson
About NPI 1487046652
Myrtle Dialysis LLC's National Provider Identifier is 1487046652, issued on Feb 25, 2015. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Hudson, WI. The record was last updated on May 6, 2025.