NPI 1013231620

Liberty Dialysis - Lakeland LLC

Organisation End-Stage Renal Disease (ESRD) Treatment Clinic/Center Saint Joseph, MI

Practice location

Address: 3772 Hollywood Rd, Saint Joseph, MI 49085-9550
Phone: (269) 428-7474
Mailing address: 7650 SE 27th St Suite 200, Mercer Island, WA 98040-3060

Authorised official

Name: Ryan Pardo
Title: Vice President
Phone: (206) 236-5001

Registered specialties

End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QE0700X

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Registry record

NPI: 1013231620
Entity type: Organization
NPI issued: 25 Mar 2010
Record last updated: 19 Jul 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.