Liberty Dialysis - Twin Cities Llc is a health care provider in Mercer Island, WA. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||7650 Se 27th St, Suite 200, Mercer Island, WA 98040-3060, US|
|Practice Location Phone||206-236-5001|
|Practice Location Fax|
|Legal Business Name||LIBERTY DIALYSIS - TWIN CITIES LLC|
|Enumeration Date ?||Feb 15, 2008|
|Last Update Date ?||Jun 16, 2008|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||End-Stage Renal Disease (ESRD) Treatment|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Liberty Dialysis - Twin Cities Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Ryan B Pardo|
|Authorized Official Title/Position||VICE PRESIDENT|
|Authorized Official Phone Number||206-236-5001|