Organization · Type 2 NPI

La Grange Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · La Grange, KY

NPI number 1508821471 Active

Practice location

240 Parker Dr
La Grange, KY 40031-1200

Fax (502) 222-2258

Mailing address

5200 Virginia Way, Ste. 400 L&c
Brentwood, TN 37027-7569

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700X300169 (KY)

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

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About NPI 1508821471

La Grange Dialysis LLC's National Provider Identifier is 1508821471, issued on Apr 20, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in La Grange, KY. The record was last updated on Jul 11, 2007.