Ameri-Tech Kidney Center

Primary specialty

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

License

008084 Issued in TX

Legal business name

AMERI-TECH KIDNEY CENTER

Practice address

1138 S Bowen Rd
Arlington, TX 76013-2204

Phone

(817) 265-7115

Fax

(817) 801-7386

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Leif Guttormsen

Title

Administrator

Phone

(817) 265-7115

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1801995584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 S BOWEN RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760132204",
            "telephone_number": "817-265-7115",
            "fax_number": "817-801-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 S BOWEN RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760132204",
            "telephone_number": "817-265-7115",
            "fax_number": "817-801-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERI-TECH KIDNEY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "GUTTORMSEN",
        "authorized_official_first_name": "LEIF",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-265-7115",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "008084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1127359-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivier Abesuh Ambebe
• Tonya Griffin Ambers, FNP-C
• Walter Joseph Ambrose, D.O.
• Ambulant Insights LLC
• Julie Amendola
• Ameri-Tech Kidney Center-Arlington LLC
• America Medical Diagnostics, Inc
• America Mobile X-Ray Corporation
• America'S Best Contacts & Eyeglasses
• American Current Care P.a .

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Arlington, TX
• Providers in Arlington, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.