Organization Active NPI

Reading Dialysis Center, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Wyomissing, PA
National Provider Identifier
1518171271
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
READING DIALYSIS CENTER, LLC
Practice address
965 Berkshire Blvd
Wyomissing, PA 19610-1229
Phone
(610) 370-5323
Fax
(610) 370-5329
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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

Authorized official

Name
Mrs. Sandra Davis Flood
Title
Coo
Phone
(305) 534-5102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

965 Berkshire Blvd
Wyomissing, PA 19610-1229

Mailing address

PO Box 536175
Pittsburgh, PA 15253-5903
Phone (610) 370-5323

Other identifiers 1

IdentifierTypeStateIssuer
1020162360001MedicaidPA

National Provider Directory

National Provider Directory

Locations

965 Berkshire Blvd
Wyomissing, PA 19610
Phone (484) 509-2451

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1518171271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 536175",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152535903",
            "telephone_number": "610-370-5323",
            "fax_number": "610-370-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 BERKSHIRE BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101229",
            "telephone_number": "610-370-5323",
            "fax_number": "610-370-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "READING DIALYSIS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "FLOOD",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "305-534-5102",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020162360001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.