NPI | 1780294702 |
---|---|
Doing Business As | PREMIER DIALYSIS SERVICES LLC |
Entity Type | Organization |
Authorized Contact | JOSHUA DANIEL DIPZINSKI Owner 888-543-6390 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2020-08-04 |
Last Update Date | 2022-10-10 |