Cambridge Dialysis Group LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Scottsdale, AZ. Organization (NPI-2).
NPI number1063971562
StatusActive
Last updated in NPPESMar 14, 2019
Details
- NPI
- 1063971562
- Entity type
- Organization (NPI-2)
- Legal business name
- Cambridge Dialysis Group LLC
- Organization subpart
- No
- Enumeration date
- Mar 14, 2019
- Last updated
- Mar 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
| 2472R0900X | Technician, Other, Renal Dialysis | – | – | |
| 251E00000X | Home Health | – | – | |
| 261QR1300X | Clinic/Center, Rural Health | – | – | |
| 302R00000X | Health Maintenance Organization | – | – | |
| 305R00000X | Preferred Provider Organization | – | – | |
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | – | |
| 251F00000X | Home Infusion | – | – | |
| 251J00000X | Nursing Care | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 252Y00000X | Early Intervention Provider Agency | – | – | |
| 261QR0200X | Clinic/Center, Radiology | – | – | |
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | – | – | |
| 332BD1200X | Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | – | – | |
| 335U00000X | Organ Procurement Organization | – | – |
Practice location
9396 E Purdue Ave Unit 120Scottsdale, AZ 85258-9105
Phone 856-669-8238
Mailing address
9396 E Purdue Ave Unit 120Scottsdale, AZ 85258-9105
Phone 856-669-8238
Authorized official
Howard Friedman
Manager
8566698237
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