Organization
UNIVERSAL DIALYSIS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
3804 BLADENSBURG RD, COTTAGE CITY, MD 20722-1613
(301) 277-2704
(301) 277-2712
Mailing address
3804 BLADENSBURG RD, COTTAGE CITY, MD 20722-1613
(301) 277-2704
(301) 277-2712
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
—
420446800
—
MD
Enumeration date
03/18/2010
Last updated
01/11/2023
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