Organization
ISD RENAL, INC
Active
Other names
Mt. Juliet Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D. WINSTEL (CHIEF ACCOUNTING OFFICE)
(253) 733-4501
Entity
Organization
Contact information
Practice address
1050 HERSCHEL DR, MT JULIET, TN 37122-6338
(615) 758-1970
(615) 758-1974
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
(615) 320-4514
(866) 594-9961
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2016
Last updated
02/06/2023
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