Organization
RENAL LIFE LINK INC
Active
Other names
Tacoma Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
3401 S 19TH ST, TACOMA, WA 98405-1909
(253) 573-1600
(253) 573-1601
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
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
—
3991072
—
WA
Enumeration date
06/07/2007
Last updated
03/25/2026
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