Organization
PHYSICIANS DIALYSIS OF LANCASTER LLC
Active
Other names
PDI Ephrata
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
63 W CHURCH ST, SUITE 67, STEVENS, PA 17578-9203
(717) 335-7399
(717) 335-0488
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
—
1007375490004
—
PA
Enumeration date
04/05/2006
Last updated
01/23/2026
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