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
100 S JACKSON AVE, 7TH FLOOR, PITTSBURGH, PA 15202-3428
(412) 766-6590
(412) 766-6961
Mailing address
3412 BABCOCK BLVD, PITTSBURGH, PA 15237-2402
(412) 635-0211
(412) 635-0411
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
—
1007529840016
—
PA
05
—
1704094
—
PA
Enumeration date
07/08/2006
Last updated
10/04/2023
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