Organization
NEW BAY DIALYSIS LLC
Active
Other names
West Broadway Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
720 W BROADWAY, LOUISVILLE, KY 40202-2240
(502) 584-2059
(502) 584-2835
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100114660
—
KY
Enumeration date
03/13/2009
Last updated
06/12/2025
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