Organization
NEPHROLOGY PHYSICIANS LLC
Active
Other names
Azura Surgery Center Michiana Vascular
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES L. PORILE MD (AUTHORIZED OFFICIAL)
(574) 273-6787
Entity
Organization
Contact information
Practice address
250 E DAY RD STE 300, MISHAWAKA, IN 46545-3471
(574) 273-6787
(574) 566-1291
Mailing address
200 N WARNER RD STE 205, KING OF PRUSSIA, PA 19406-2841
(610) 644-8900
(484) 924-0053
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2017
Last updated
03/23/2026
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