Organization
TRAILSTONE DIALYSIS LLC
Active
Other names
Ontario Mills Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAM T WEY (VP LICENSURE&CERTIFICATION)
(615) 341-6691
Entity
Organization
Contact information
Practice address
2403 S VINEYARD AVE, STE D, ONTARIO, CA 91761-6471
(909) 923-3850
(909) 923-8568
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
—
1437538618
—
CA
Enumeration date
05/21/2015
Last updated
09/04/2025
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