Organization
ISD LEES SUMMIT LLC
Active
Other names
Lees Summit Renal Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY AO (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
100 NE MISSOURI RD, STE 100, LEES SUMMIT, MO 64086-4702
(816) 524-3312
(816) 524-3321
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
—
507557106
—
MO
Enumeration date
07/25/2007
Last updated
02/05/2026
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