Organization · Type 2 NPI
La Grange Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Louisville, KY
NPI number
1710079876
Active
Practice location
720 W Broadway
Louisville, KY 40202-2216
Fax (502) 584-2835
Mailing address
5200 Virginia Way, Ste 400 L&c
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...
Another provider at this address
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About NPI 1710079876
La Grange Dialysis LLC's National Provider Identifier is 1710079876, issued on Sep 28, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Louisville, KY. The record was last updated on Aug 1, 2007.