Organization
SATELLITE HEALTHCARE OF PACE ROAD LLC
Active
Parent organization
SATELLITE HEALTHCARE INC
Other names
Satellite Dialysis of Pace Road
Organization subpart
Yes
Provider details
NPI number
Legal business name
SATELLITE HEALTHCARE INC
Authorized official
THOMAS L WEINBERG (CHAIRMAN)
(214) 736-2700
Entity
Organization
Contact information
Practice address
4185 PACE RD, MEMPHIS, TN 38116-5871
(901) 345-8649
(901) 345-1013
Mailing address
300 SANTANA ROW, SUITE 300, SAN JOSE, CA 95128-2423
(901) 345-8649
(650) 625-6007
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
—
0000000193
STATE OF TENNESSEE DEPARTMENT OF HEALTH
TN
05
—
1518692
—
TN
01
—
44D1104889
CLIA
—
Enumeration date
06/09/2009
Last updated
05/15/2024
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