<Unavail>

LBN: Clark Dialysis Llc
<Unavail> is an health care organization with primary practice located at 1127 West St Ste 100, Annapolis MD 21401-3615. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Clark Dialysis Llc can be contacted via phone (410) 626-6139, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
1127 West St Ste 100 Annapolis MD 21401-3615
Phone: (410) 626-6139
Fax: (410) 268-1294
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1740529932
LBN Legal business name Clark Dialysis Llc
DBA Doing business as <Unavail>
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2013
Last updated Apr 8th, 2026 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740529932 NPPES
Maryland MEDICAID 4228812 00

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