Organization
GREATER LAS VEGAS DIALYSIS LLC
Active
Organization
GREATER LAS VEGAS DIALYSIS LLC
Active
Other names
North Las Vegas Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
2065 N LAS VEGAS BLVD, NORTH LAS VEGAS, NV 89030-5801
(702) 639-0469
(702) 639-0221
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
492ESR
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004502000
—
NV
05
—
1902868169
—
CA
Enumeration date
04/04/2006
Last updated
01/14/2026
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