MDC 14 PARTNERS LLC NPI 1710322466

NPI Information

NPI: 1710322466
Provider Name: MDC 14 PARTNERS, LLC

Doing Business As: LIBERTY DIALYSIS - MANSFIELD

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 45D2077560

Address:
2651 E BROAD ST
SUITE 109
MANSFIELD, TX
ZIP 76063
Phone: (817) 225-4433
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MDC 14 PARTNERS, LLC is an end-stage renal disease (esrd) treatment clinic center in Mansfield, TX. MDC 14 PARTNERS, LLC NPI is 1710322466. The provider is registered as an organization entity type.
The provider Is Doing Business As Liberty Dialysis - Mansfield.

The provider's business location address is:

2651 E BROAD ST
SUITE 109
MANSFIELD, TX
ZIP 76063-899
Phone: (817) 225-4433

The provider's authorized official is Thomas L. Weinberg .
The authorized official title is Chairman & President and has the following contact phone number (214) 736-2730.

The CLIA number assigned to this NPI record is 45D2077560 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/8/2013 and was last updated on 7/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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