Organization
DCI RENAL SERVICES OF PITTSBURGH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
4445 OLD WILLIAM PENN HWY, MONROEVILLE, PA 15146-1411
(412) 372-3455
(412) 372-6649
Mailing address
2534 MONROEVILLE BLVD, MONROEVILLE, PA 15146-2329
(412) 823-6041
(412) 823-6493
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
—
1022869480002
—
PA
05
—
1206547
—
PA
Enumeration date
07/08/2006
Last updated
08/11/2023
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