| NPI | 1124814280 |
|---|---|
| Doing Business As | TRI STATE DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | JOHN E WHALEN President 563-590-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2025-04-16 |
| Last Update Date | 2025-05-14 |