Organization
CADIZ DIALYSIS LLC
Active
Other names
Kempsville 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
1920 CENTERVILLE TURNPIKE, STE 122, VIRGINIA BEACH, VA 23464-6859
(757) 502-0360
(757) 502-1206
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4214
(866) 944-3352
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
—
1679012991
—
VA
Enumeration date
02/20/2017
Last updated
12/06/2023
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