Organization
PEARL DIALYSIS, LLC
Active
Other names
East Valley Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
14050 PILOT KNOB RD, STE 100, APPLE VALLEY, MN 55124-6648
(952) 423-4062
(952) 423-6974
Mailing address
5200 VIRGINIA WAY, L&C DEPT, 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
05/01/2013
Last updated
02/17/2022
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