Organization
GREEN DESERT DIALYSIS LLC
Active
Other names
Desert Springs 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
2110 E FLAMINGO RD STE 108, LAS VEGAS, NV 89119-5191
(702) 696-9768
(702) 791-6926
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
4681ESR-1
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427090828
—
NV
Enumeration date
06/11/2006
Last updated
03/30/2026
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