Advanced Dialysis Center, LLC
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Easton, MD
NPI 1699861922 · NPPES record last updated Sep 26, 2024
Key facts
- NPI
- 1699861922
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- ADVANCED DIALYSIS CENTER, LLC
- Practice address
- 610 Dutchmans Lane
Easton, MD 21601 - Phone
- (410) 820-9873
- Fax
- (410) 820-9875
- NPI assigned
- Oct 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Minessia Zarita Pearson, MSN
- Title
- Chief Financial Officer
- Phone
- (301) 943-7808
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hemodialysis Registered Nurse |
163WH0500X | E2642R | MD | |
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
Addresses
Primary practice location
610 Dutchmans Lane
Easton, MD 21601
Mailing address
9320 Annapolis Rd
#200
Lanham, MD 20706
Phone (301) 577-1007
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All providers in Easton, MD · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.