BEAUMONT KIDNEY SPECIALTY SERVICES LLC – NPI #1669703799
Clinic/Center

BEAUMONT KIDNEY SPECIALTY SERVICES LLC is an AHC clinic located in SOUTHFIELD, MI. NPPES has assigned the NPI number 1669703799 to BEAUMONT KIDNEY SPECIALTY SERVICES LLC on January 29, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 10 years ago on May 23, 2016. 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 BEAUMONT KIDNEY SPECIALTY SERVICES LLC below.

NPI Profile for
BEAUMONT KIDNEY SPECIALTY SERVICES LLC

NPI Number
1669703799
Enumeration Date

(more than 16 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
BEAUMONT KIDNEY SPECIALTY SERVICES LLC
Primary location
26400 W 12 MILE RD
SUITE 112
SOUTHFIELD, MI 48034-1700
Phone: (248) 457-7648 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SAMI ZAROUK
PRESIDENT
Phone: (248) 457-7648
Updated
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)

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.