Organization
WEST MONROE DIALYSIS LLC
Active
Organization
WEST MONROE DIALYSIS LLC
Active
Other names
West Monroe Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS O USILTON JR. (SR VICE PRESIDENT)
(770) 541-7922
Entity
Organization
Contact information
Practice address
401 THOMAS RD, WEST MONROE, LA 71292-7902
(615) 320-4435
Mailing address
5200 VIRGINIA WAY, STE 400 L&C, BRENTWOOD, TN 37027-7569
(615) 320-4435
(303) 209-7825
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2007
Last updated
08/14/2007
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