Organization · Type 2 NPI

Innovative Dialysis Centers of la Grange, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Lagrange, GA

NPI number 1730522343 Active

Practice location

1300 Lafayette Pkwy, Suite D
Lagrange, GA 30241-2612

Fax (706) 884-5304

Mailing address

1300 Lafayette Pkwy Ste D
Lagrange, GA 30241-2610

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

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

3 other providers at this address

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About NPI 1730522343

Innovative Dialysis Centers of la Grange, LLC's National Provider Identifier is 1730522343, issued on Apr 12, 2013. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Lagrange, GA. The record was last updated on Sep 1, 2026.