Organization
BULLOCK DIALYSIS LLC
Active
Other names
Loveland 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
8944 COLUMBIA RD STE 6, LOVELAND, OH 45140-1121
(513) 583-5326
(513) 583-5134
Mailing address
5200 VIRGINIA WAY, L&C DEPT., BRENTWOOD, TN 37027
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
—
0308078
—
OH
Enumeration date
10/20/2017
Last updated
07/23/2025
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