Organization · Type 2 NPI

Bastrop Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Dayton, OH

NPI number 1902140122 Active

Practice location

1431 Business Center Ct
Dayton, OH 45410-3300

Fax (937) 208-9055

Mailing address

5200 Virginia Way, L&c Dept 4th Floor
Brentwood, TN 37027-7569

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...

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About NPI 1902140122

Bastrop Dialysis LLC's National Provider Identifier is 1902140122, issued on Nov 15, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Dayton, OH. The record was last updated on Nov 15, 2012.