Organization
ROUTT DIALYSIS LLC
Active
Other names
South Meadow Dialysis 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
10085 DOUBLE R BLVD, STE 160, RENO, NV 89521-5860
(775) 852-4200
(775) 852-4263
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
4851ESR
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417197195
—
NV
Enumeration date
02/20/2009
Last updated
06/16/2025
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