Lake Dialysis

LBN: Renal Treatment Centers Southeast Lp
Lake Dialysis is an health care organization with primary practice located at 211 N 1St St , Leesburg FL 34748-5150. 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. Renal Treatment Centers Southeast Lp can be contacted via phone (352) 326-8100, or through Hilger, James K via phone (253) 733-4500.

Contact Information

Primary practice address
211 N 1St St Leesburg FL 34748-5150
Phone: (352) 326-8100
Fax: (352) 326-8307
Website:
Map and Directions
Authorized official contact:
Name: Hilger, James K
Phone: (253) 733-4500

Health care specialties

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

Profile Details

NPI number 1962479386
LBN Legal business name Renal Treatment Centers Southeast Lp
DBA Doing business as Lake Dialysis
Authorized official Hilger, James K
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2006
Last updated Mar 13th, 2015 - about 11 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 1962479386 NPPES
Florida MEDICAID 890078700

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