Organization
GREATER LAS VEGAS DIALYSIS LLC
Active
Organization
GREATER LAS VEGAS DIALYSIS LLC
Active
Other names
South Las Vegas Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
2250 S RANCHO DR, STE 115, LAS VEGAS, NV 89102-4456
(702) 795-1771
(702) 795-1794
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
(615) 341-6814
(800) 293-8405
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
2948ESR
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004502105
—
NV
Enumeration date
04/07/2006
Last updated
07/26/2023
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