Organization
GANSETT DIALYSIS, LLC
Active
Other names
McLean Dialysis, Vienna Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (L & C DEPARTMENT)
(615) 341-6641
Entity
Organization
Contact information
Practice address
8605 WESTWOOD CENTER DR STE 100, VIENNA, VA 22182-2231
(571) 633-0790
(571) 633-0147
Mailing address
5200 VIRGINIA WAY, L & C DEPARTMENT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2018
Last updated
03/16/2026
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