Organization
ISD BARTLETT LLC
Active
Other names
Bartlett Renal Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
2920 COVINGTON PIKE, MEMPHIS, TN 38128-6007
(901) 248-6020
(901) 377-0879
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4514
(866) 594-9961
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
—
0442711
—
TN
Enumeration date
08/11/2010
Last updated
03/14/2024
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