Lourdes Dialysis At Innova, INC.
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Mt. Laurel, New Jersey
1134373905- Practice location
- 3716 Church RD., Mt. Laurel, NJ 08054-1104
- Phone
- 856-757-3500
- Fax
- —
- Last updated
- November 11, 2008
Lourdes Dialysis At Innova, INC. is a healthcare organization based in Mt. Laurel, NJ. Lourdes Dialysis At Innova, INC. practices in Mt. Laurel, NJ. The NPI Number for Lourdes Dialysis At Innova, INC. is 1134373905. The current practice location address for Lourdes Dialysis At Innova, INC. is 3716 Church RD., Mt. Laurel, NJ 08054-1104 and can be reached out via phone at 856-757-3500.
Provider Profile Details
- NPI Number
- 1134373905
- Provider Name
- Lourdes Dialysis At Innova, INC.
- Provider Entity Type
- Organization
- Address
- 3716 Church RD., Mt. Laurel, NJ 08054-1104
- Phone Number
- 856-757-3500
- Primary Taxonomy
- Clinic/Center, End-Stage Renal Disease (ESRD) Treatment · 261QE0700X
- Organization Subpart
- No
- Authorized Official
- Jennifer Schwartz · Avp Legal Services · 856-580-6314
- Provider Enumeration Date
- November 6, 2008
- Last Update Date
- November 11, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3716 Church RD.
Mt. Laurel, NJ 08054-1104 - City
- Mt. Laurel
- State
- New Jersey
- Zip
- 08054-1104
- Phone Number
- 856-757-3500
Provider Business Mailing Address Details
- Address
- 1600 Haddon Ave
Camden, NJ 08103-3101 - City
- Camden
- State
- NJ
- Zip
- 08103-3101
- Phone Number
- 856-757-3500
License Information
- License State
- NJ
- Taxonomy
- Clinic/Center, End-Stage Renal Disease (ESRD) Treatment · 261QE0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Lourdes Dialysis At Innova, INC.?
The NPI number of Lourdes Dialysis At Innova, INC. is 1134373905. It was assigned on November 6, 2008 and is currently active in the NPPES registry.
What is the specialty of Lourdes Dialysis At Innova, INC.?
Lourdes Dialysis At Innova, INC. is registered under the primary taxonomy Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (code 261QE0700X).
Where does Lourdes Dialysis At Innova, INC. practice?
The practice location is 3716 Church RD., Mt. Laurel, NJ 08054-1104. The office can be reached at 856-757-3500 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134373905 directly on the NPPES registry website.