Active NPI
Liverpool Dialysis Center LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Syracuse, NY
National Provider Identifier
1689843385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- LIVERPOOL DIALYSIS CENTER LLC
- Practice address
- 1304 Buckley Rd
Syracuse, NY 13212-4311 - Phone
- (303) 785-7521
- Fax
- (303) 444-8639
- NPI assigned
- Feb 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Herbert S Lawson
- Title
- Cfo
- Phone
- (303) 785-7521
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
1304 Buckley Rd
Syracuse, NY 13212-4311
Mailing address
2100 Central Ave
Suite 201
Boulder, CO 80301-2838
Phone (303) 785-7523
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Gainesville, GA
- NPI 1336121946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214438400000",
"number": "1689843385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 CENTRAL AVE",
"address_2": "SUITE 201",
"city": "BOULDER",
"state": "CO",
"postal_code": "803012838",
"telephone_number": "303-785-7523",
"fax_number": "303-444-8639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 BUCKLEY RD",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132124311",
"telephone_number": "303-785-7521",
"fax_number": "303-444-8639"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVERPOOL DIALYSIS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-27",
"last_updated": "2008-06-26",
"status": "A",
"authorized_official_last_name": "LAWSON",
"authorized_official_first_name": "HERBERT",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "303-785-7521",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.