Organization · Type 2 NPI

Physicians Dialysis Acquisitions Inc

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

NPI number 1568424455 Active

Practice location

1230 Ekhart St NE
Grand Rapids, MI 49503-1372

Call (616) 742-8930 Map

Fax (616) 742-0456

Mailing address

5200 Virginia Way, Att: L&c Department
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: 1568424455
Entity type: Organization (Type 2)
Issued: Apr 5, 2006
Last updated: Sep 25, 2023
Status: Active

Other names

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Pdi Grand Rapids East · doing business as
Pdi Grand Rapids East · doing business as

Authorized official

Samuel T Wey
SR Director Licensure&certification
(615) 341-6641

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About NPI 1568424455

Physicians Dialysis Acquisitions Inc's National Provider Identifier is 1568424455, issued on Apr 5, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 25, 2023.