Organization
DIALYSIS CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
3300 HENRY AVE, 4TH FLOOR, PHILADELPHIA, PA 19129-1121
(215) 848-3127
(215) 849-7240
Mailing address
3300 HENRY AVE, EAST FALLS, PHILADELPHIA, PA 19129-1121
(215) 848-3127
(215) 849-7240
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
—
1007529840046
—
PA
05
—
1074869
—
PA
Enumeration date
07/08/2006
Last updated
10/04/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us