Isd Lees Summit Llc in Lees Summit - End-stage Renal Disease (esrd) Treatment
Isd Lees Summit Llc - NPI 1518167717
Isd Lees Summit Llc is a End-stage Renal Disease (esrd) Treatment in Lees Summit, Missouri. Isd Lees Summit Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Isd Lees Summit Llc is 1518167717. The last update date is 2023-11-30.
Isd Lees Summit Llc's current location address is 100 Ne Missouri Rd, Lees Summit, Missouri. You can contact this provider via phone number 8165243312 and fax number 8165243321. The mailing address for Isd Lees Summit Llc is 100 Ne Missouri Rd, Lees Summit, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Isd Lees Summit Llc |
|---|---|
| Address | 100 Ne Missouri Rd, Lees Summit, Missouri |
| Phone Number | 8165243312 |
| Fax Number | 8165243321 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP LICENSU |
|---|---|
| Authorized Official Name | Wey T Samuel |
| Credentials | AO |
| Telephone Number | 6153416641 |
NPI Number Detail
| NPI Number | 1518167717 |
|---|---|
| Provider Enumeration Date | 2007-07-25 |
| Last Updated Date | 2023-11-30 |
Provider Mailing Address Detail
| Address | 100 Ne Missouri Rd |
|---|---|
| City | Lees Summit |
| State | Missouri (MO) |
| Post Code | 640864702 |
| Phone Number | 8165243312 |
| Fax Number | 8165243321 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 507557106 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Isd Lees Summit Llc by the Centers for Medicare & Medicaid Services?
The Isd Lees Summit Llc has been assigned the NPI (National Provider Identifier) 1518167717 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Isd Lees Summit Llc is physically located?
The Isd Lees Summit Llc is situated at the following address: 100 Ne Missouri Rd, Lees Summit, MO 640864702.
What is the Isd Lees Summit Llc's specialty and taxonomy code?
The Isd Lees Summit Llc's specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.
On what date did the Isd Lees Summit Llc receive its 1518167717 assignment from the Centers for Medicare & Medicaid Services?
The Isd Lees Summit Llc was assigned its 1518167717 by the Centers for Medicare & Medicaid Services on 2007-07-25.
As of what date were the details pertaining to Isd Lees Summit Llc last refreshed?
The information related to the Isd Lees Summit Llc, including its address, specialty, and other relevant details, was last updated on 2023-11-30.