Organization · NPI-2

Advanced Dialysis Center, LLC

Clinic/Center, End-Stage Renal Disease (ESRD) Treatment · Easton, MD

NPI number1699861922
StatusActive
Last updated in NPPESSep 26, 2024

Details

NPI
1699861922
Entity type
Organization (NPI-2)
Legal business name
Advanced Dialysis Center, LLC
Organization subpart
No
Enumeration date
Oct 5, 2006
Certification date
Sep 26, 2024
Last updated
Sep 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment––Yes
163WH0500X Registered Nurse, HemodialysisE2642RMD

Practice location

610 Dutchmans Lane
Easton, MD 21601

Phone 410-820-9873 · Fax 410-820-9875

Mailing address

9320 Annapolis Rd
#200
Lanham, MD 20706

Phone 301-577-1007 · Fax 301-577-1006

Authorized official

Minessia Zarita Pearson
Chief Financial Officer
3019437808

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