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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