Organization · Type 2 NPI

Leasburg Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · St. Louis, MO

NPI number 1508159666 Active

Practice location

12855 N 40 Dr, Suite LL4
St. Louis, MO 63141-8622

Call (314) 542-0049 Map

Fax (314) 542-0057

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

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

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About NPI 1508159666

Leasburg Dialysis LLC's National Provider Identifier is 1508159666, issued on May 24, 2011. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in St. Louis, MO. The record was last updated on Sep 16, 2026.