Organization
DAYTON REGIONAL DIALYSIS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL L SOBECKI (CEO)
(937) 312-6551
Entity
Organization
Contact information
Practice address
7211 SHULL RD, HUBER HEIGHTS, OH 45424-1234
(937) 237-2000
(937) 237-5630
Mailing address
7700 WASHINGTON VILLAGE DR, SUITE 220, DAYTON, OH 45459
(937) 438-0099
(937) 438-0902
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
0422DC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0648026
—
OH
Enumeration date
02/14/2006
Last updated
11/14/2007
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