Organization
LASSEN DIALYSIS LLC
Active
Other names
Oakwood Renal Services
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
18100 OAKWOOD BLVD, STE 206, DEARBORN, MI 48124-4085
(313) 438-7959
(313) 438-7960
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
—
1801215959
—
MI
Enumeration date
04/15/2014
Last updated
09/20/2023
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