Organization
PREMIER DIALYSIS SERVICE TENNESSEE LLC
Active
Organization
PREMIER DIALYSIS SERVICE TENNESSEE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA DIPZINSKI RN (MANAGING DIRECTOR)
(888) 543-6390
Entity
Organization
Contact information
Practice address
11762 DOUGLASS ST STE 103, ARLINGTON, TN 38002-4489
(888) 543-6390
Mailing address
1245 N MAIN ST, LAPEER, MI 48446-1346
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2022
Last updated
12/04/2024
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