Organization
RACELAND DIALYSIS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MURAT HATIPOGLU (CEO)
(504) 780-1422
Entity
Organization
Contact information
Practice address
4601 HIGHWAY 1, RACELAND, LA 70394-2624
(985) 537-6962
(985) 537-6928
Mailing address
4424 CONLIN ST, SUITE 2A, METAIRIE, LA 70006-2147
(504) 780-1422
(504) 780-1432
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
109
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1985724
—
LA
01
—
34606
BLUE CROSS BLUE SHIELD LA
LA
Enumeration date
06/26/2006
Last updated
08/22/2020
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