Organization
UNIVERSITY DIALYSIS CENTER LLC
Active
Other names
University Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T. WEY AO (SR DIRECTOR LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
333 UNIVERSITY AVE, STE 100, SACRAMENTO, CA 95825-6533
(916) 920-0877
(916) 920-1931
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 238-3085
(800) 268-9682
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
110000445
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR02530G
—
CA
Enumeration date
10/03/2006
Last updated
09/07/2023
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