Organization
ISD RENAL INC
Active
Other names
Home Dialysis of Indianapolis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
8803 N MERIDIAN ST STE 150, INDIANAPOLIS, IN 46260-5376
(317) 574-1798
(317) 574-1825
Mailing address
5200 VIRGINIA WAY, 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
—
300011879
—
IN
Enumeration date
06/08/2017
Last updated
08/21/2025
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