Universal Kidney Center Inc

LBN: Universal Kidney Center Inc
Universal Kidney Center Inc is an health care organization with primary practice located at 4875 Ne 20Th Terrace , Fl Lauderdale FL 33308-4515. 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. Universal Kidney Center Inc can be contacted via phone (954) 958-9300, or through Bartolome, Elmo Angelo V via phone (954) 958-9300.

Contact Information

Primary practice address
4875 Ne 20Th Terrace Fl Lauderdale FL 33308-4515
Fax: (954) 318-4086
Website:
Authorized official contact:
Name: Bartolome, Elmo Angelo V

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X CLEA LIC # 800001259 Florida

Profile Details

NPI number 1447362835
LBN Legal business name Universal Kidney Center Inc
DBA Doing business as
Authorized official Bartolome, Elmo Angelo V
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated May 22nd, 2012 - about 12 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 1447362835 NPPES
Other V9E BCBS OF FL
MEDICAID 212511100 BCBS OF FL

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