Organization
TRC - GEORGETOWN REGIONAL DIALYSIS LLC
Active
Other names
Union Plaza Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
810 1ST ST NE, STE 100, WASHINGTON, DC 20002-4227
(202) 842-3127
(202) 842-3160
Mailing address
5200 VIRGINIA WAY, L & C DEPARTMENT, BRENTWOOD, TN 37027-7569
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
—
033562600
—
DC
05
—
120901900
—
MD
Enumeration date
02/27/2006
Last updated
07/25/2024
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