Organization
CAPITOL DIALYSIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
140 Q ST NE, SUITE 100, WASHINGTON, DC 20002-2101
(202) 636-9411
(202) 636-9415
Mailing address
140 Q ST NE, SUITE 100, WASHINGTON, DC 20002-2101
(202) 636-9411
(202) 636-9415
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017725500
—
DC
05
—
800303300
—
MD
Enumeration date
08/25/2006
Last updated
01/10/2023
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