Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hemodialysis |
163WH0500X |
| NPI Number | 1801507702 |
| LBN Legal business name | ON SITE DIALYSIS LLC |
| Authorized official | AMY BLAGG - (CREDENTIALING) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/12/2022 |
| Last updated | 12/12/2022 - About 3 years ago |
| Identifiers | n/a |
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