Organization · Type 2 NPI

Renal Treatment Centers-Illinois Inc.

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

NPI number 1508243882 Active

Practice location

6770 Dixie Hwy Ste 205
Clarkston, MI 48346-2089

Call (248) 620-0958 Map

Fax (248) 620-1204

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...

Other end-stage renal disease (esrd) treatment clinic/center providers in Clarkston

Kidney Centers of Michigan LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Clarkston, MI NPI 1710948211

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NPI record

NPI: 1508243882
Entity type: Organization (Type 2)
Issued: May 6, 2015
Last updated: Sep 2, 2026
Status: Active

Other names

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

Authorized official

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

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About NPI 1508243882

Renal Treatment Centers-Illinois Inc.'s National Provider Identifier is 1508243882, issued on May 6, 2015. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Clarkston, MI. The record was last updated on Sep 2, 2026.