Organization
PURIDIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM BAGLEY (FOUNDER/CFO)
(808) 312-8059
Entity
Organization
Contact information
Practice address
2121 E FLAMINGO RD STE 102, LAS VEGAS, NV 89119-5123
(808) 312-8059
Mailing address
2121 E FLAMINGO RD STE 102, LAS VEGAS, NV 89119-5123
(808) 312-8059
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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