LAKESIDE DIALYSIS CENTER UNIVERSITY OF UTAH

BOUNTIFUL, UT
NPI1508965617
Doing Business AsUNIVERSITY OF UTAH
Entity TypeOrganization
Authorized ContactSTEVEN L. HEMMING
Director/CEO
801-581-3659
Organization Subpart ?No
Primary Taxonomy261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment
(Licence: UT  2004-ESRD-932)
Enumeration Date2006-09-22
Last Update Date2014-07-11
Business Address
LAKESIDE DIALYSIS CENTER UNIVERSITY OF UTAH
532 S 500 W
BOUNTIFUL, UT 84010-7208
Phone number: 801-299-3470
Mailing Address
LAKESIDE DIALYSIS CENTER UNIVERSITY OF UTAH
PO BOX 27071
SALT LAKE CITY, UT 84127-7071
Phone number: 801-299-3470