institution
Northwest Detroit Dialysis Center Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Southfield, Michigan
NPI 1083634463

Northwest Detroit Dialysis Center Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Bingham Farms, MI and is specialized in End-Stage Renal Disease (ESRD) Treatment. Northwest Detroit Dialysis Center Llc practices in Southfield, MI. The NPI Number for Northwest Detroit Dialysis Center Llc is 1083634463 and holds a License No. (Michigan).

The current practice location address for Northwest Detroit Dialysis Center Llc is 25664 Lahser Rd, Southfield, MI and can be reached out via phone at 248-358-7521 and via fax at 248-358-7522. You can also correspond with Northwest Detroit Dialysis Center Llc through the mailing address at 30100 TELEGRAPH RD, BINGHAM FARMS, MI - 48025-4516 (mailing address contact number: 248-723-0224).

Location: 25664 Lahser Rd, Southfield, MI, 48025-4516
institution
Provider Profile Details
NPI Number
1083634463
Provider Name
Northwest Detroit Dialysis Center Llc
Credential
Provider Entity Type
Organization
Address
25664 Lahser Rd, Southfield, MI, 48025-4516
Phone Number
248-358-7521
Fax Number
248-358-7522
Provider Enumeration Date
07/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14296 01 M CARE
10078540001 01 WELLNESS
1008733 01 OMNICARE
D8956 01 FED BLUE CROSS PRIMARY
232544 01 HAP
4568218 05 MI
000000003402 01 CAPE
138129 01 PREFERRED CHOICE
138129 01 CARE CHOICES
D8956 01 BLUE CROSS PRIMARY
D9466 01 BLUE CROSS SECONDARY
D9466 01 FED BLUE CROSS SECONDARY
P09457 01 BLUE CARE NETWORK
5066 01 GREATLAKES
institution
Provider Business Practice Location Address Details
Address
25664 Lahser Rd
City
State
Zip
48033-5810
Phone Number
248-358-7521
Fax Number
248-358-7522
person
Provider Business Mailing Address Details
Address
30100 Telegraph Rd
City
State
Zip
48025-4516
Phone Number
248-723-0224
Fax Number
248-642-7852
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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