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
1322 KINGS HWY, SHREVEPORT, LA 71103-4225
(318) 226-1020
(318) 424-1179
Mailing address
1322 KINGS HWY, SHREVEPORT, LA 71103-4225
(318) 226-1020
(318) 424-1179
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
062
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1650510
—
LA
05
—
HO4527918
—
TX
Enumeration date
07/08/2006
Last updated
10/04/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us