Emory Dialysis At Northside
LBN: Emory Dialysis, Llc
Emory Dialysis At Northside is an health care organization with primary practice located at 610 Northside Dr Nw , Atlanta GA 30318-6927. 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.
Emory Dialysis, Llc can be contacted via phone (404) 778-1050, or through Tribbett, Adam J via phone (404) 778-5294.
Contact Information
Primary practice address
610 Northside Dr Nw
Atlanta GA 30318-6927
Phone: (404) 778-1050
Fax: (404) 892-1878
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X |
Profile Details
| NPI number | 1013142843 |
|---|---|
| LBN Legal business name | Emory Dialysis, Llc |
| DBA Doing business as | Emory Dialysis At Northside |
| Authorized official | Tribbett, Adam J JD/MHA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 22nd, 2009 |
| Last updated | Aug 15th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013142843 | NPPES |
| Georgia | MEDICAID | 943588192A |
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