Organization
RENAL LIFE LINK INC
Active
Other names
Metairie Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (SR DIRECTOR LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
7100 AIRLINE DR, METAIRIE, LA 70003-5950
(504) 731-1969
(504) 731-8533
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
150
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1318817
—
LA
Enumeration date
09/14/2006
Last updated
08/16/2023
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