Southwest Kidney Dialysis, LLC

Primary specialty

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

Legal business name

SOUTHWEST KIDNEY DIALYSIS, LLC

Practice address

20325 N 51St Ave
Building 11, Suite 186
Glendale, AZ 85308-5674

Phone

(623) 533-6521

Fax

(623) 533-6579

NPI assigned

Apr 19, 2007

Last updated

Sep 24, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Mauvais

Title

Cheif Financial Officer

Phone

(480) 610-6110

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Southwest Kidney Institute, PLC

  • Nephrology Physician
  • Tucson, AZ
  • NPI 1407094436

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1770700171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 E WARNER RD",
            "address_2": "STE 112",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843494",
            "telephone_number": "480-610-6100",
            "fax_number": "480-610-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20325 N 51ST AVE",
            "address_2": "BUILDING 11, SUITE 186",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085674",
            "telephone_number": "623-533-6521",
            "fax_number": "623-533-6579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST KIDNEY DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "MAUVAIS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CHEIF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "480-610-6110"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Foot Institute Inc
• Southwest Kidney Davita Dialysis Partners LLC (Phoenix Home Dialysis)
• Southwest Kidney Davita Dialysis Partners LLC (Arrowhead Lakes Dialysis Center)
• Southwest Kidney Davita Dialysis Partners, LLC (Brookwood Dialysis Center)
• Southwest Kidney Dialysis, LLC
• Southwest Med LLC
• Southwest Spine and Sports
• Southwest Vascular Institute LTD
• Souza DDS LLC (North Canyon Dentistry)
• Stacey Kipp Sowinski

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Glendale, AZ
• Providers in Glendale, 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 Sep 24, 2007; 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.