<Unavail>

LBN: Lourdes Dialysis, Llc
<Unavail> is an health care organization with primary practice located at 39 Skyline Dr Ste 1001, Lake Mary FL 32746-7123. 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. Lourdes Dialysis, Llc can be contacted via phone (407) 833-8667, or through Wey, Samuel T. via phone (615) 341-6641.

Contact Information

Primary practice address
39 Skyline Dr Ste 1001 Lake Mary FL 32746-7123
Phone: (407) 833-8667
Fax: (407) 833-8672
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 1083031223
LBN Legal business name Lourdes Dialysis, Llc
DBA Doing business as <Unavail>
Authorized official Wey, Samuel T.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2014
Last updated Aug 12th, 2024 - about 2 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 1083031223 NPPES
Florida MEDICAID 014268500

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