Organization
LEOTI DIALYSIS LLC
Active
Other names
Chace Lake Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1837 MONTGOMERY HWY STE 109, HOOVER, AL 35244-2508
(659) 272-0001
(659) 272-0019
Mailing address
5200 VIRGINIA WAY, ATT: L&C SPECIALIST, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
10/30/2025
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