Organization
DIALYSIS CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
935 21ST AVE N, NASHVILLE, TN 37208-3454
(615) 327-3984
(615) 327-7901
Mailing address
935 21ST AVE N, NASHVILLE, TN 37208-3454
(615) 327-3984
(615) 321-0635
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
0000000032
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442502
—
TN
05
—
4447814
—
PA
05
—
761DIA
—
OK
05
—
761DIA
—
TX
Enumeration date
06/26/2006
Last updated
10/05/2023
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