Organization
CAMBRIDGE DIALYSIS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD FRIEDMAN (MANAGER)
(856) 669-8237
Entity
Organization
Contact information
Practice address
9396 E PURDUE AVE UNIT 120, SCOTTSDALE, AZ 85258-9105
(856) 669-8238
Mailing address
9396 E PURDUE AVE UNIT 120, SCOTTSDALE, AZ 85258-9105
(856) 669-8238
Taxonomy
Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
302R00000X
Health Maintenance Organization
—
—
305R00000X
Preferred Provider Organization
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
335U00000X
Organ Procurement Organization
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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