Organization
DIALYSIS CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
905 LOUISIANA BLVD, NE, ALBUQUERQUE, NM 87110-7048
(505) 254-1800
(505) 254-1801
Mailing address
1500 INDIAN SCHOOL RD NE, ALBUQUERQUE, NM 87102-1646
(505) 243-7376
(505) 724-1526
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
—
64573338
—
NM
Enumeration date
05/10/2007
Last updated
10/04/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us