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Organization

INDEPENDENT DIALYSIS SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHERANCE TAYLOR (OFFICE MANAGER)
(504) 914-3625
Entity
Organization

Contact information

Practice address
2900 ELYSIAN FIELDS AVE, SUITE B, NEW ORLEANS, LA 70122-3625
(504) 947-3625
(504) 947-3675
Mailing address
2900 ELYSIAN FIELDS AVE, SUITE B, NEW ORLEANS, LA 70122-3625
(504) 947-3625
(504) 947-3675

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
1436356
LA
01
30345
BLUE CROSS PROVIDER NUMBE
LA
Enumeration date
08/26/2005
Last updated
08/22/2020
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