Organization · Type 2 NPI

Lassen Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Riverview, MI

NPI number 1497010474 Active

Practice location

18236 Fort St
Riverview, MI 48193-7439

Call (734) 283-4513 Map

Fax (734) 283-4570

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...

NPI record

NPI: 1497010474
Entity type: Organization (Type 2)
Issued: Jul 6, 2012
Last updated: Jan 10, 2025
Status: Active

Other names

<unavail>
Riverview Dialysis · doing business as
Riverview Dialysis · doing business as

Authorized official

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

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About NPI 1497010474

Lassen Dialysis LLC's National Provider Identifier is 1497010474, issued on Jul 6, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Riverview, MI. The record was last updated on Jan 10, 2025.