Organization
ISD LAS VEGAS LLC
Active
Other names
Las Vegas Renal Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
2333 RENAISSANCE DR, LAS VEGAS, NV 89119-6191
(702) 740-8580
(702) 740-8684
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
—
1336349539
—
NV
Enumeration date
07/25/2007
Last updated
04/01/2026
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