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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