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
2374 PROFESSIONAL HEIGHTS DRIVE, LEXINGTON, KY 40503
(859) 967-0400
(859) 967-0405
Mailing address
100 VENTURE CT, LEXINGTON, KY 40511-2600
(859) 252-7712
(859) 252-2117
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
300064
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39090113
—
KY
Enumeration date
07/08/2006
Last updated
10/05/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us