Organization
DIALYSIS CLINIC INC
Active
Parent organization
DIALYSIS CLINIC INC
Other names
DCI Transplant Immunology Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIALYSIS CLINIC INC
Authorized official
MR. DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
1616 HAYES ST, NASHVILLE, TN 37203-3011
(615) 321-0212
(615) 321-4880
Mailing address
1616 HAYES ST, NASHVILLE, TN 37203-3011
(615) 321-0212
(615) 321-4880
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
TN 1952
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-3-TN-06-1
ASHI LAB NUMBER
TN
01
—
44D0659038
CLIA
TN
01
—
TN 1952
STATE LABORATORY LICENSE
TN
Enumeration date
06/17/2005
Last updated
10/05/2023
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