institution
Liberty Dialysis-southpointe Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Canonsburg, Pennsylvania
NPI 1518909068

Liberty Dialysis-southpointe Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Canonsburg, PA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Liberty Dialysis-southpointe Llc practices in Canonsburg, PA. The NPI Number for Liberty Dialysis-southpointe Llc is 1518909068 and holds a License No. (Pennsylvania).

The current practice location address for Liberty Dialysis-southpointe Llc is 1200 Corporate Dr, Canonsburg, PA and can be reached out via phone at 724-745-5565 and via fax at 724-745-5567. You can also correspond with Liberty Dialysis-southpointe Llc through the mailing address at 1200 CORPORATE DR, CANONSBURG, PA - 15317-8576 (mailing address contact number: 724-745-5565).

Location: 1200 Corporate Dr, Canonsburg, PA, 15317-8576
institution
Provider Profile Details
NPI Number
1518909068
Provider Name
Liberty Dialysis-southpointe Llc
Credential
Provider Entity Type
Organization
Address
1200 Corporate Dr, Canonsburg, PA, 15317-8576
Phone Number
724-745-5565
Fax Number
724-745-5567
Provider Enumeration Date
06/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1013889520001 05 PA
392717 01 HIGHMARK SECURITY BLUE MC
institution
Provider Business Practice Location Address Details
Address
1200 Corporate Dr
City
State
Zip
15317-8576
Phone Number
724-745-5565
Fax Number
724-745-5567
person
Provider Business Mailing Address Details
Address
1200 Corporate Dr
City
State
Zip
15317-8576
Phone Number
724-745-5565
Fax Number
724-745-5567
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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