Organization · Type 2 NPI

Commerce Township Dialysis Center LLC

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

NPI number 1497875819 Active

Practice location

120 W Commerce Rd
Commerce Township, MI 48382-3915

Call (248) 363-4862 Map

Fax (248) 363-5238

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: 1497875819
Entity type: Organization (Type 2)
Issued: Mar 30, 2007
Last updated: Jun 20, 2024
Status: Active

Other names

<unavail>
Commerce Township Dialysis · doing business as
Commerce Township Dialysis · doing business as

Authorized official

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

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1497875819

Commerce Township Dialysis Center LLC's National Provider Identifier is 1497875819, issued on Mar 30, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Commerce Township, MI. The record was last updated on Jun 20, 2024.