Dialysis Newco LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

OTC3850 Issued in AZ

Legal business name

DIALYSIS NEWCO LLC

Doing business as

U.S. Renal Care Southwest Mesa Dialysis

Practice address

1457 W Southern Ave
Suite D-19
Mesa, AZ 85202-4813

Phone

(480) 894-5411

Fax

(480) 894-2607

NPI assigned

Sep 21, 2011

Last updated

Jan 4, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

U.S. RENAL CARE, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas L. Weinberg

Title

Authorized Official

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other names 1

• U.S. Renal Care Southwest Mesa Dialysis Doing business as

Part of

US Renal Care Inc

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1093098550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251549",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251500",
            "telephone_number": "615-234-1188",
            "fax_number": "615-234-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1457 W SOUTHERN AVE",
            "address_2": "SUITE D-19",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024813",
            "telephone_number": "480-894-5411",
            "fax_number": "480-894-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS NEWCO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2011-09-21",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "AZ",
            "license": "OTC3850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Southwest Mesa Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "U.S. Renal Care Southwest Mesa Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• DHT Hand Therapy Limited Partnership (Desert Hand and Physical Therapy)
• DHT Hand Therapy Limited Partnership (Desert Hand and Physical Therapy)
• Tiffany A Di Giacomo, MD
• Tamara Di Silvestro, CPHT
• Diabetic Health Supply L.L.C.
• Dialysis Newco LLC (U.S. Renal Care Mesa Dialysis)
• Bona Diamond, PT61359910
• Gus Tom Diamond
• Kerry Marie Diana, LPC
• Diane Park MD LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.