Organization · Type 2 NPI

Blake Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Cedarburg, WI

NPI number 1497033229 Active

Practice location

N54 W6135 Mill St, Ste 500
Cedarburg, WI 53012-2067

Call (262) 377-2158 Map

Fax (262) 377-2191

Mailing address

5200 Virginia Way, L&c Department
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: 1497033229
Entity type: Organization (Type 2)
Issued: Jul 27, 2011
Last updated: Feb 23, 2024
Status: Active

Other names

<unavail>
Mill Street Hometraining · doing business as
Mill Street Hometraining · doing business as

Authorized official

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

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About NPI 1497033229

Blake Dialysis LLC's National Provider Identifier is 1497033229, issued on Jul 27, 2011. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Cedarburg, WI. The record was last updated on Feb 23, 2024.