Organization
TULSA DIALYSIS LLC
Active
Other names
Sapulpa Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
9647 RIDGEVIEW ST, TULSA, OK 74131-6205
(918) 224-9996
(918) 224-9997
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
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
—
200003470A
—
OK
Enumeration date
04/04/2006
Last updated
05/27/2025
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