Organization
LOUISVILLE DIALYSIS CENTERS LLC
Active
Other names
Louisville Dialysis
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
8037 DIXIE HWY, LOUISVILLE, KY 40258-1344
(502) 937-9111
(502) 937-3911
Mailing address
5200 VIRGINIA WAY, SUITE 400 L&C, BRENTWOOD, TN 37027-7569
(615) 320-4218
(303) 209-7825
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
300166
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39000682
—
KY
Enumeration date
04/10/2006
Last updated
09/18/2007
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