| NPI | 1053360925 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-05-09 |
| Last Updated | 2007-09-24 |
| Authorized Official | Jeffery Weintraub Chief Executive Officer Phone: 4806106100 |
| Mailing Address | 2149 E Warner Rd, Suite 101 Tempe, AZ 85284-3494 United States Phone: (480) 610-6100 📍 View Map |
| Primary Practice Address | 20325 N 51st Ave, Building 11 Suite 184 Glendale, AZ 85308-5674 United States Phone: (623) 533-3836 | Fax: (623) 533-4033 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 261QE0700X – Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | AZ | 3546 |
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About NPI 1053360925
Southwest Kidney Dialysis, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1053360925. The primary specialty listed is Clinic/Center, End-Stage Renal Disease (ESRD) Treatment. The organization is located in Glendale, AZ. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-09. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053360925?
NPI 1053360925 belongs to Southwest Kidney Dialysis, Llc, a Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Glendale, AZ. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053360925 active?
The current status of NPI 1053360925 in the NPPES registry is Active. The record was last updated on 2007-09-24.
What specialty is NPI 1053360925?
NPI 1053360925 is classified under the taxonomy Clinic/Center, End-Stage Renal Disease (ESRD) Treatment. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053360925?
You can verify NPI 1053360925 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053360925?
The primary practice address on file for NPI 1053360925 is 20325 N 51st Ave, Glendale, AZ 85308-5674. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053360925 issued?
NPI 1053360925 was first issued (enumerated) on 2006-05-09. The NPPES record was last updated on 2007-09-24.
Practice Location Map
Southwest Kidney Dialysis, Llc is located at 20325 N 51st Ave, Glendale, AZ. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Southwest Kidney Dialysis, Llc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1053360925. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | 3546 | AZ |