Organization
STALLINGTON DIALYSIS LLC
Active
Other names
Justin Drive Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE AND CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
32 JUSTIN DR STE 101, DANVILLE, PA 17821-7905
(272) 365-0153
(272) 365-0191
Mailing address
5200 VIRGINIA WAY, L& C DEPARTMENT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
11/19/2025
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