Organization
SUN DESERT DIALYSIS LLC
Active
Other names
Desert Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
13000 N 103RD AVE, STE 66, SUN CITY, AZ 85351-3060
(623) 583-3131
(623) 583-5414
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
—
778704
—
AZ
Enumeration date
12/07/2011
Last updated
09/03/2025
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