Organization
SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC
Active
Other names
Arrowhead Lakes Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
20325 N 51ST AVE, BLDG 11 STE 184 & 186, GLENDALE, AZ 85308-4625
(623) 533-6521
(623) 533-6579
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
OTC4389
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
345499
—
AZ
Enumeration date
12/17/2007
Last updated
05/07/2026
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