Organization
ISD RENAL INC
Active
Organization
ISD RENAL INC
Active
Parent organization
DAVITA INC
Other names
Quince Road Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVITA INC
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6691
Entity
Organization
Contact information
Practice address
6548 QUINCE RD, MEMPHIS, TN 38119-8211
(860) 690-2856
Mailing address
5200 VIRGINIA WAY, ATTN LICENSURE & CERTIFICATION, BRENTWOOD, TN 37027-7569
(615) 946-1361
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up