Organization
ETOWAH DIALYSIS LLC
Active
Other names
St Lukes Allentown 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
1901 HAMILTON ST, STE 100, ALLENTOWN, PA 18104-6460
(610) 435-2590
(610) 433-1386
Mailing address
5200 VIRGINIA WAY, 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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102924317 0003
—
PA
Enumeration date
09/18/2013
Last updated
04/28/2026
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