1790798379 LIBERTY DIALYSIS PETERSBURG, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center

Active

Basic Information

Organization Name
LIBERTY DIALYSIS PETERSBURG, LLC
Enumeration Date
August 14, 2006
Last Update
October 17, 2023
Authorized Official
BARRY L. BLANTON
VICE PRESIDENT
Phone: (781) 699-9000

Practice Location

Address
3400 S CRATER RD
PETERSBURG, VA 238059252
Phone
(804) 732-8228
Fax
(804) 732-8288

Mailing Address

Address
3400 S CRATER RD
PETERSBURG, VA 238059252
Phone
(804) 732-8228
Fax
(804) 732-8288

Specialties & Taxonomies

Specialty Code Classification License State Primary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
End-Stage Renal Disease (ESRD) Treatment
 261QE0700X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
195526 01 N/A ANTHEM BCBS OF VA

Digital Endpoints

CONNECT Use: OTHER

https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service

2.16.840.1.113883.3.667.2

Affiliation: Ability Network

Frequently Asked Questions

What is LIBERTY DIALYSIS PETERSBURG, LLC's NPI number?
LIBERTY DIALYSIS PETERSBURG, LLC's NPI number is 1790798379.
Which doctor has NPI number 1790798379?
The doctor with NPI number 1790798379 is LIBERTY DIALYSIS PETERSBURG, LLC.
What is LIBERTY DIALYSIS PETERSBURG, LLC's practice address?
LIBERTY DIALYSIS PETERSBURG, LLC's practice address is 3400 S CRATER RD, PETERSBURG, VA, 238059252.
Which doctor practices at 3400 S CRATER RD, PETERSBURG, VA, 238059252?
LIBERTY DIALYSIS PETERSBURG, LLC practices at 3400 S CRATER RD, PETERSBURG, VA, 238059252.
What is LIBERTY DIALYSIS PETERSBURG, LLC's phone number?
LIBERTY DIALYSIS PETERSBURG, LLC's phone number is (804) 732-8228.
Who is (804) 732-8228?
(804) 732-8228 is the phone number for LIBERTY DIALYSIS PETERSBURG, LLC.
What is LIBERTY DIALYSIS PETERSBURG, LLC's specialty?
LIBERTY DIALYSIS PETERSBURG, LLC's specialty is End-Stage Renal Disease (ESRD) Treatment Clinic/Center.
What type of doctor is LIBERTY DIALYSIS PETERSBURG, LLC?
LIBERTY DIALYSIS PETERSBURG, LLC is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center.
Is LIBERTY DIALYSIS PETERSBURG, LLC a End-Stage Renal Disease (ESRD) Treatment?
Yes, LIBERTY DIALYSIS PETERSBURG, LLC is a End-Stage Renal Disease (ESRD) Treatment.
Is LIBERTY DIALYSIS PETERSBURG, LLC still practicing?
Yes, LIBERTY DIALYSIS PETERSBURG, LLC is currently practicing.
Is LIBERTY DIALYSIS PETERSBURG, LLC accepting new patients?
LIBERTY DIALYSIS PETERSBURG, LLC may be accepting new patients. Please call their office at (804) 732-8228 to inquire about availability.
Is NPI 1790798379 still active?
Yes, NPI 1790798379 is currently active.
Where does LIBERTY DIALYSIS PETERSBURG, LLC practice?
LIBERTY DIALYSIS PETERSBURG, LLC practices in PETERSBURG, VA.