Organization
LABETTE DIALYSIS LLC
Active
Other names
Lawrence County Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T. WEY AO (VP, LICENSURE & CERTIFICATION)
(253) 733-4501
Entity
Organization
Contact information
Practice address
367 COUNTY ROAD 406, UNIT 11, SOUTH POINT, OH 45680-8766
(740) 894-0830
(877) 288-1208
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
(615) 238-3051
(800) 246-8346
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
—
0320327
—
OH
Enumeration date
01/24/2017
Last updated
01/04/2024
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