NPI 1265768451
Maquoketa Kidney Center, LLC
Practice location
- Address
- 700 W Grove St, Maquoketa, IA 52060-2163
- Phone
- (563) 652-9674
- Fax
- (563) 652-9679
- Mailing address
- 400 John Deere Rd, Moline, IL 61265-6898
Authorised official
- Name
- Rajesh Alla
- Title
- Medical Director
- Phone
- (309) 762-5570
Registered specialties
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
Registry record
- NPI
- 1265768451
- Entity type
- Organization
- NPI issued
- 23 Oct 2009
- Record last updated
- 29 Aug 2014
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.