| NPI | 1114152527 |
|---|---|
| Other Name | DIALYSIS UNIT |
| Entity Type | Organization |
| Authorized Contact | JEREMY LYMAN CEO 435-678-3993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: UT 2012-ESRD-90350) |
| Additional Taxonomies | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2014-05-12 |