Organization
TYLER DIALYSIS LLC
Active
Other names
Lourdes Innova Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
3716 CHURCH RD, MOUNT LAUREL, NJ 08054-1104
(856) 222-0386
(856) 235-0592
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
24255
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0318213
—
NJ
Enumeration date
09/10/2012
Last updated
03/06/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us