Organization
WELDON DIALYSIS LLC
Active
Other names
Roseville Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1836 SIERRA GARDENS DR, STE 150, ROSEVILLE, CA 95661-2943
(916) 772-0306
(916) 772-0189
Mailing address
5200 VIRGINIA WAY, L&C DEPT, 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
—
1942625132
—
CA
Enumeration date
02/25/2014
Last updated
04/24/2025
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