Organization
MINNEOPA DIALYSIS, LLC
Active
Other names
Oakland Laurel 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
3814 MACARTHUR BLVD STE 201, OAKLAND, CA 94619-1315
(510) 531-6090
(510) 531-6357
Mailing address
5200 VIRGINIA WAY, ATT: 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
Enumeration date
11/26/2019
Last updated
10/08/2025
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