Renal Life Link INC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Metairie, LA. Organization (NPI-2).
NPI number1104921923
StatusActive
Last updated in NPPESAug 16, 2023
Details
- NPI
- 1104921923
- Entity type
- Organization (NPI-2)
- Legal business name
- Renal Life Link INC
- Organization subpart
- No
- Enumeration date
- Sep 14, 2006
- Certification date
- Aug 16, 2023
- Last updated
- Aug 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | 150 | LA | Yes |
Other names
- Metairie Dialysis Center (Doing Business As)
Practice location
7100 Airline DrMetairie, LA 70003-5950
Phone 504-731-1969 · Fax 504-731-8533
Mailing address
5200 Virginia WayL&C Dept
Brentwood, TN 37027-7569
Phone 615-320-4514 · Fax 866-594-9961
Authorized official
Samuel T Wey
Sr Director Licensure&Certification
6153416641
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