Clinical Renal Associates, Llc

LBN: Clinical Renal Associates, Llc
Clinical Renal Associates, Llc is an health care organization with primary practice located at 30 Medical Center Blvd Suite 303, Upland PA 19013-3955. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Clinical Renal Associates, Llc can be contacted via phone (610) 872-8501, or through Marcus, Roy G. via phone (610) 872-8501.

Contact Information

Primary practice address
30 Medical Center Blvd Suite 303 Upland PA 19013-3955
Phone: (610) 872-8501
Fax: (610) 872-5188
Website:
Map and Directions
Authorized official contact:
Name: Marcus, Roy G. Doctor of Medicine (MD)
Phone: (610) 872-8501

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1689620254
LBN Legal business name Clinical Renal Associates, Llc
DBA Doing business as
Authorized official Marcus, Roy G. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2006
Last updated Nov 30th, 2023 - 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 1689620254 NPPES
Pennsylvania Other 0032975000 PERSONAL CHOICE
Pennsylvania Other CF3534 PERSONAL CHOICE
Pennsylvania Other 0032975000 PERSONAL CHOICE
Pennsylvania Other 045319 PERSONAL CHOICE
Pennsylvania MEDICAID 000760867-0013 PERSONAL CHOICE
Pennsylvania Other 110372 PERSONAL CHOICE

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