Organization
TOTAL RENAL CARE OF COLORADO INC
Active
Other names
Lakewood Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS O USILTON JR. (GROUP VICE PRESIDENT)
(770) 541-7922
Entity
Organization
Contact information
Practice address
1750 PIERCE ST, STE B, LAKEWOOD, CO 80214-1434
(303) 238-6111
(303) 462-0946
Mailing address
5200 VIRGINIA WAY, STE 400, BRENTWOOD, TN 37027-7569
(615) 320-4435
(303) 209-7821
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
0845
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05302005
—
CO
Enumeration date
03/08/2006
Last updated
07/11/2007
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