Organization · Type 2 NPI

Amity Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Chantilly, VA

NPI number 1548798341 Active

Practice location

24640 Southpoint Dr Ste 160
Chantilly, VA 20152-4141

Call (703) 327-4357 Map

Fax (703) 542-5630

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...

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NPI record

NPI: 1548798341
Entity type: Organization (Type 2)
Issued: May 24, 2017
Last updated: Jan 11, 2024
Status: Active

Other names

<unavail>
Stone Ridge Dialysis · doing business as
Stone Ridge Dialysis · doing business as

Authorized official

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

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About NPI 1548798341

Amity Dialysis LLC's National Provider Identifier is 1548798341, issued on May 24, 2017. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Chantilly, VA. The record was last updated on Jan 11, 2024.