Lake Road Dialysis

LBN: Isd Renal Inc
Lake Road Dialysis is an health care organization with primary practice located at 6902 Se Lake Rd Ste 100, Milwaukie OR 97267-2148. 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. Isd Renal Inc can be contacted via phone (503) 794-1288, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
6902 Se Lake Rd Ste 100 Milwaukie OR 97267-2148
Phone: (503) 794-1288
Fax: (503) 794-5916
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 1700832318
LBN Legal business name Isd Renal Inc
DBA Doing business as Lake Road Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2006
Last updated Jun 25th, 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 1700832318 NPPES
Oregon Other 170060 STATE

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