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Dialysis Newco Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Mesa, Arizona
NPI 1093098550

Dialysis Newco Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Plano, AZ and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dialysis Newco Llc practices in Mesa, AZ. The NPI Number for Dialysis Newco Llc is 1093098550 and holds a License No. OTC3850 (Arizona).

The current practice location address for Dialysis Newco Llc is 1457 W Southern Ave, Mesa, AZ and can be reached out via phone at 480-894-5411 and via fax at 480-894-2607.

Location: 1457 W Southern Ave, Mesa, AZ, 75025-1500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093098550
Provider Name
Dialysis Newco Llc
Credential
Provider Entity Type
Organization
Address
1457 W Southern Ave, Mesa, AZ, 75025-1500
Phone Number
480-894-5411
Fax Number
480-894-2607
Provider Enumeration Date
09/21/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1457 W Southern Ave
City
Mesa
State
Arizona
Zip
85202-4813
Phone Number
480-894-5411
Fax Number
480-894-2607
person
Provider Business Mailing Address Details
Address
1457 W Southern Ave
City
Mesa
State
Arizona
Zip
85202-4813
Phone Number
480-894-5411
Fax Number
480-894-2607
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
OTC3850 (Arizona)
Definition
Definition to come...
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