Dialysis Access Center, Llc

LBN: Dialysis Access Center, Llc
Dialysis Access Center, Llc is an health care organization with primary practice located at 400 John Deere Rd Building 2, Moline IL 61265-6898. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Dialysis Access Center, Llc can be contacted via phone (309) 797-0594, or through Alla, Rajesh via phone (309) 762-5570.

Contact Information

Primary practice address
400 John Deere Rd Building 2 Moline IL 61265-6898
Phone: (309) 797-0594
Fax: (309) 762-5297
Website:
Map and Directions
Authorized official contact:
Name: Alla, Rajesh Doctor of Medicine (MD)
Phone: (309) 762-5570

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1578879847
LBN Legal business name Dialysis Access Center, Llc
DBA Doing business as
Authorized official Alla, Rajesh Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2010
Last updated Aug 29th, 2014 - about 12 years 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 1578879847 NPPES
Illinois Other IL5611 MEDICARE PTAN
Illinois Other 51756 MEDICARE PTAN

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