SOUTHWEST KIDNEY DIALYSIS, LLC
NPI 1770700171
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Glendale, AZ
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
About SOUTHWEST KIDNEY DIALYSIS, LLC
This page provides the complete NPI Profile along with additional information for Southwest Kidney Dialysis, Llc, a provider established in Glendale, Arizona operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1770700171 assigned on April 2007. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Michelle Mauvais (Cheif Financial Officer)
- NPI
- 1770700171 Verify this NPI
- Provider Name
- SOUTHWEST KIDNEY DIALYSIS, LLC
- Entity Type
- Organization
- Location Address
- 20325 N 51ST AVE BUILDING 11, SUITE 186 GLENDALE, AZ 85308
- Location Phone
- (623) 533-6521
- Location Fax
- (623) 533-6579
- Mailing Address
- 2149 E WARNER RD STE 112 TEMPE, AZ 85284
- Mailing Phone
- (480) 610-6100
- Mailing Fax
- (480) 610-6195
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-19-2007
- Last Update Date
- 09-24-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center End-Stage Renal Disease (ESRD) Treatment
- Taxonomy Code
- 261QE0700X
- Type
- Ambulatory Health Care Facilities
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GLENDALE, AZ 85308
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GLENDALE, AZ 85308
GLENDALE, AZ 85308
GLENDALE, AZ 85308
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770700171, enumerated as an "organization" on April 19, 2007.
The provider is located at 20325 N 51ST AVE BUILDING 11, SUITE 186 GLENDALE, AZ 85308 and the phone number is (623) 533-6521.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.