Organization
KLEACA DIALYSIS LLC
Active
Other names
Issaquah 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
730 NW GILMAN BLVD, STE C110, ISSAQUAH, WA 98027-5326
(425) 270-2083
(425) 270-2105
Mailing address
5200 VIRGINIA WAY, ATTN 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
Enumeration date
11/02/2021
Last updated
02/18/2025
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