Organization
LOFIELD DIALYSIS LLC
Active
Organization
LOFIELD DIALYSIS LLC
Active
Other names
Eagles Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (SR DIRECTOR LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
5301 PEARL DR, STE 300, EVANSVILLE, IN 47712-8111
(812) 467-0161
(812) 467-0139
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4514
(866) 594-9961
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
—
300009158A
—
IN
Enumeration date
09/14/2016
Last updated
08/17/2023
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