Organization
RENAL TREATMENT CENTERS MID ATLANTIC INC
Active
Other names
Loch Raven 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
5315 YORK RD, BALTIMORE, MD 21212-3830
(410) 323-8790
(410) 323-8795
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
MD
Other
Enumeration date
05/22/2018
Last updated
09/02/2025
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