Dialysis Clinic Inc. in Shreveport - End-stage Renal Disease (esrd) Treatment
Dialysis Clinic Inc. - NPI 1356374730
Dialysis Clinic Inc. is a End-stage Renal Disease (esrd) Treatment in Shreveport, Louisiana. Dialysis Clinic Inc. practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Dialysis Clinic Inc. is 1356374730. The last update date is 2023-10-04.
Dialysis Clinic Inc.'s current location address is 1322 Kings Hwy, Shreveport, Louisiana. You can contact this provider via phone number 3182261020 and fax number 3184241179. The mailing address for Dialysis Clinic Inc. is 1322 Kings Hwy, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dialysis Clinic Inc. |
|---|---|
| Address | 1322 Kings Hwy, Shreveport, Louisiana |
| Phone Number | 3182261020 |
| Fax Number | 3184241179 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Schultz Donovan |
| Telephone Number | 6153273061 |
NPI Number Detail
| NPI Number | 1356374730 |
|---|---|
| Provider Enumeration Date | 2006-07-08 |
| Last Updated Date | 2023-10-04 |
Provider Mailing Address Detail
| Address | 1322 Kings Hwy |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711034225 |
| Phone Number | 3182261020 |
| Fax Number | 3184241179 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 62 |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1650510 | LA | -- | |
| HO4527918 | TX | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Dialysis Clinic Inc. by the Centers for Medicare & Medicaid Services?
The Dialysis Clinic Inc. has been issued the NPI (National Provider Identifier) 1356374730. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Dialysis Clinic Inc.'s facilities are situated?
The facilities of Dialysis Clinic Inc. are physically located at the following address: 1322 Kings Hwy, Shreveport, LA, 711034225.
What is Dialysis Clinic Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dialysis Clinic Inc. is End-stage Renal Disease (esrd) Treatment, and the taxonomy code that classifies this field of practice is 261Qe0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1356374730 to Dialysis Clinic Inc.?
The Centers for Medicare & Medicaid Services assigned the 1356374730 to Dialysis Clinic Inc. on 2006-07-08.
As of what date were the details pertaining to Dialysis Clinic Inc. last refreshed?
The information related to the Dialysis Clinic Inc., including its address, specialty, and other relevant details, was last updated on 2023-10-04.