Organization
OWENS DIALYSIS LLC
Active
Other names
Lyndhurst Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
554-A NEW YORK AVE, LYNDHURST, NJ 07071-1532
(201) 933-4782
(201) 804-7545
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
—
0626392
—
NJ
Enumeration date
08/05/2016
Last updated
04/01/2024
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