Liberty Dialysis - West Jordan

LBN: Liberty Dialysis-Jordan Landing Llc
Liberty Dialysis - West Jordan is an health care organization with primary practice located at 3823 W 9000 S Ste D , West Jordan UT 84088-5604. 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. Liberty Dialysis-Jordan Landing Llc can be contacted via phone (801) 280-4600, or through Blanton, Barry L. via phone (781) 699-9000.

Contact Information

Primary practice address
3823 W 9000 S Ste D West Jordan UT 84088-5604
Phone: (801) 280-4600
Fax: (801) 280-0444
Website:
Map and Directions
Authorized official contact:
Name: Blanton, Barry L.
Phone: (781) 699-9000

Health care specialties

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

Profile Details

NPI number 1073846655
LBN Legal business name Liberty Dialysis-Jordan Landing Llc
DBA Doing business as Liberty Dialysis - West Jordan
Authorized official Blanton, Barry L.
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 14th, 2009
Last updated Oct 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073846655 NPPES
Utah Other 46-2545 PTAN

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