USRC ELLISVILLE LLC is an end-stage renal disease (esrd) treatment clinic center in Ellisville, MO. USRC ELLISVILLE LLC NPI is 1306495502. The provider is registered as an organization entity type.
The provider's business location address is:
257 CLARKSON RD
ELLISVILLE, MO
ZIP 63011-219
Phone: (637) 207-7401
The provider's authorized official is Thomas L Weinberg .
The authorized official title is Chairman and has the following contact phone number (214) 736-2730.
The CLIA number assigned to this NPI record is 26D1081201 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/10/2019 and was last updated on 9/10/2019.