Organization
LAS VEGAS PEDIATRIC DIALYSIS LLC
Active
Other names
Las Vegas Pediatrics Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
7271 W SAHARA AVE STE 120, LAS VEGAS, NV 89117-2862
(702) 227-3049
(702) 227-8882
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6814
(800) 293-8405
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
5251ESR
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952570590
—
NV
Enumeration date
02/28/2008
Last updated
06/01/2021
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