Organization
GREATER LAS VEGAS DIALYSIS LLC
Active
Other names
Las Vegas Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
150 S VALLEY VIEW BLVD, LAS VEGAS, NV 89107-3110
(702) 878-0908
(702) 878-8292
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
6209ESR
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004502874
—
NV
05
—
1538121793
—
CA
Enumeration date
04/04/2006
Last updated
08/26/2025
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