Organization
ADVANCED DIALYSIS CENTER, LLC
Active
Parent organization
ADVANCED DIALYSIS CENTER, LLC
Other names
Advanced Dialysis Center Easton
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED DIALYSIS CENTER, LLC
Authorized official
MRS. MINESSIA ZARITA PEARSON MSN (CHIEF FINANCIAL OFFICER)
(301) 577-1007
Entity
Organization
Contact information
Practice address
610 DUTCHMANS LN, EASTON, MD 21601-3346
(410) 820-9873
Mailing address
9320 ANNAPOLIS RD, LANHAM, MD 20706-3100
(301) 577-1007
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
E2649
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4112326
—
MD
Enumeration date
05/10/2016
Last updated
01/15/2020
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