Isd Renal INC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Memphis, TN. Organization (NPI-2).
NPI number1346102001
StatusActive
Last updated in NPPESDec 1, 2025
Details
- NPI
- 1346102001
- Entity type
- Organization (NPI-2)
- Legal business name
- Isd Renal INC
- Organization subpart
- Yes
- Enumeration date
- Dec 1, 2025
- Certification date
- Dec 1, 2025
- Last updated
- Dec 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Other names
- Poplar Avenue Dialysis (Doing Business As)
Practice location
1333 Poplar AveMemphis, TN 38104-2006
Phone 901-568-4465
Mailing address
5200 Virginia WayAttn Licensure & Certification
Brentwood, TN 37027-7569
Phone 615-946-1361
Authorized official
Samuel T Wey
Vp, Licensure & Certification
6153416691
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