Organization
DIALYSIS CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
100 VENTURE CT, LEXINGTON, KY 40511-2600
(859) 252-7712
(859) 252-2117
Mailing address
100 VENTURE CT, LEXINGTON, KY 40511-2600
(859) 252-7712
(859) 252-2117
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
300018
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39090014
—
KY
05
—
567985
—
HI
Enumeration date
06/30/2006
Last updated
10/05/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us