Ameri-Tech Kidney Center

Primary specialty

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

License

000222 Issued in TX

Legal business name

AMERI-TECH KIDNEY CENTER

Practice address

1600 Central Dr
Suite 130
Bedford, TX 76022-6000

Phone

(817) 545-8044

Fax

(817) 283-0612

NPI assigned

Sep 21, 2006

Last updated

Dec 3, 2013By 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

Mr. Leif Guttormsen

Title

Administrator

Phone

(817) 265-7115

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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": "1952400640",
    "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": "1600 CENTRAL DR",
            "address_2": "SUITE 130",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226000",
            "telephone_number": "817-545-8044",
            "fax_number": "817-283-0612"
        }
    ],
    "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": "000222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1127359-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Amns Inc (Stajduhar Physical Therapy)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Bedford, TX
• Providers in Bedford, 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.