Dialysis Clinic Inc. in Shreveport - End-stage Renal Disease (esrd) Treatment
Dialysis Clinic Inc. - NPI 1295768687
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 1295768687. The last update date is 2023-10-04.
Dialysis Clinic Inc.'s current location address is 102 Admore Avenue, Shreveport, Louisiana. You can contact this provider via phone number 3188615051 and fax number 3188615054. The mailing address for Dialysis Clinic Inc. is 102 Admore Avenue, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dialysis Clinic Inc. |
|---|---|
| Address | 102 Admore Avenue, Shreveport, Louisiana |
| Phone Number | 3188615051 |
| Fax Number | 3188615054 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Schultz Donovan |
| Telephone Number | 6153273061 |
NPI Number Detail
| NPI Number | 1295768687 |
|---|---|
| Provider Enumeration Date | 2006-07-08 |
| Last Updated Date | 2023-10-04 |
Provider Mailing Address Detail
| Address | 102 Admore Avenue |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 71105 |
| Phone Number | 3188615051 |
| Fax Number | 3188615054 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 8 |
|
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 |
|---|---|---|---|
| 1120855 | LA | -- | |
| HO4527918 | TX | -- |
Post Comment/ Review Below
What is the Dialysis Clinic Inc.'s unique identification number?
The Dialysis Clinic Inc. has been assigned the NPI (National Provider Identifier) Number 1295768687 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Dialysis Clinic Inc. is physically located?
The Dialysis Clinic Inc. is physically situated at the following address: 102 Admore Avenue, Shreveport, LA, 71105.
What is the area of specialization for Dialysis Clinic Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Dialysis Clinic Inc. is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this area of expertise is 261Qe0700X.
When did Dialysis Clinic Inc. receive its 1295768687 assignment?
The Dialysis Clinic Inc. was assigned its 1295768687 on 2006-07-08, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Dialysis Clinic Inc. most recently updated or revised?
The details related to Dialysis Clinic Inc., including its address, specialty, and other relevant information, were last updated or revised on 2023-10-04.