NPI 1104094036

Liberty Dialysis-Sparks LLC

Organisation End-Stage Renal Disease (ESRD) Treatment Clinic/Center Sparks, NV

Practice location

Address: 5915 S Los Altos Pkwy, Sparks, NV 89436-2506
Phone: (775) 200-0108
Fax: (775) 636-6878

Authorised official

Name: Barry L. Blanton
Title: Vice President
Phone: (781) 699-9000

Registered specialties

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

Ambulatory Health Care Facilities Taxonomy 261QE0700X

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Registry record

NPI: 1104094036
Entity type: Organization
NPI issued: 13 Feb 2008
Record last updated: 18 Oct 2023

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.