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
6314 FORBES AVE, PITTSBURGH, PA 15217-1717
(412) 521-4370
(412) 521-4371
Mailing address
3260 5TH AVE, PITTSBURGH, PA 15213-3026
(412) 647-3700
(412) 647-6980
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
—
1022869480008
—
PA
05
—
2041981
—
PA
Enumeration date
07/19/2006
Last updated
08/11/2023
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