Organization
FREMONT DIALYSIS LLC
Active
Other names
Bloomfield Hills Home 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
42886 WOODWARD AVE, BLOOMFIELD HILLS, MI 48304-5033
(248) 334-7501
(248) 334-7384
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467890616
—
MI
Enumeration date
06/10/2013
Last updated
02/10/2026
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