Organization
UNIVERSITY DIALYSIS CENTER LLC
Active
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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