Organization
LIBERTY DIALYSIS - DAVIS COUNTY LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
LIBERTY DIALYSIS - LAYTON
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
BARRY L. BLANTON (VICE PRESIDENT)
(781) 699-9000
Entity
Organization
Contact information
Practice address
2132 N ROBINS DR STE 120, LAYTON, UT 84041-7059
(801) 779-6104
(801) 779-6106
Mailing address
2132 N ROBINS DR STE 120, LAYTON, UT 84041-7059
(801) 779-6104
(801) 779-6106
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
01
—
462537
PTAN
UT
Enumeration date
10/03/2007
Last updated
10/17/2023
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