Organization
DIALYSIS CLINIC INC
Active
Other names
DCI Lab Nashville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
2917 FOSTER CREIGHTON DR, NASHVILLE, TN 37204-3705
(615) 255-5227
(615) 259-9321
Mailing address
2917 FOSTER CREIGHTON DR, NASHVILLE, TN 37204-3705
(615) 255-5227
(615) 259-9321
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
TN 1953
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003112836
—
CT
05
—
003400559
—
AL
05
—
00380388A
—
GA
01
—
021177
PA LAB LICENSE
PA
05
—
052598
—
AZ
05
—
0805076
—
MA
05
—
100018440A
—
IN
05
—
1007529840006
—
PA
05
—
1970426
—
IA
05
—
20884257
—
CO
05
—
37901988
—
KY
01
—
44D0659053
CLIA
TN
01
—
4909-843025A3
NEW YORK LAB LICENSE
NY
05
—
74472
—
TN
01
—
800011550
FL LAB LICENSE
FL
01
—
COS 800031
CA LAB LICENSE
CA
05
—
DC 702702903
—
MO
01
—
TN 1953
STATE LICENSE
TN
05
—
XLAB00790
—
CA
Enumeration date
06/17/2005
Last updated
10/04/2023
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