U.S. RENAL CARE SOUTHWEST MESA DIALYSIS – NPI #1093098550
Clinic/Center

U.S. RENAL CARE SOUTHWEST MESA DIALYSIS is an AHC clinic located in MESA, AZ. NPPES has assigned the NPI number 1093098550 to U.S. RENAL CARE SOUTHWEST MESA DIALYSIS on September 21, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “U.S. RENAL CARE SOUTHWEST MESA DIALYSIS” is a dba name, the actual legal business name for this organization is DIALYSIS NEWCO LLC. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 5 years ago on Jan 04, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for U.S. RENAL CARE SOUTHWEST MESA DIALYSIS below.

NPI Profile for
DIALYSIS NEWCO LLC

NPI Number
1093098550
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DIALYSIS NEWCO LLC
Doing Business As (dba): U.S. RENAL CARE SOUTHWEST MESA DIALYSIS
Primary location
1457 W SOUTHERN AVE
SUITE D-19
MESA, AZ 85202-4813
Phone: (480) 894-5411 Fax: (480) 894-2607
Mailing address
PO BOX 251549
PLANO, TX 75025-1500
Phone: (615) 234-1188 Fax: (615) 234-9526
Organization Subpart
Yes - U.S. RENAL CARE SOUTHWEST MESA DIALYSIS is subpart of another organization.
Authorized Official
THOMAS WEINBERG
AUTHORIZED OFFICIAL
Phone: (214) 736-2700
Updated
Certification Date
Jan 04, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)		 AZ OTC3850

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.