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NPI Code Detail

MEDICARE: LIMON DIALYSIS LLC

MEDICARE: LIMON DIALYSIS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/CenterE2657MD

Other Identifiers

General Provider Information

NPI Number : 1558511733
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIMON DIALYSIS LLC
Provider Business Mailing Address
First Line : 5200 VIRGINIA WAY
Second Line : ATT: L&C DEPT
City : BRENTWOOD
State : TN
Zip : 37027
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5701 SILVER HILL RD
Second Line :
City : DISTRICT HEIGHTS
State : MD
Zip : 20747-1102
Country : US
Telephone Number : 301-817-0010
Fax Number : 301-817-0019
Authorized Official
Title or Position : VP LICENSURE & CERTIFICATION
Name : SAMUEL T WEY
Credential :
Telephone Number : 615-341-6641
Provider Enumeration Date : 09/24/2008
Last Update Date : 05/06/2025

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Directions to “LIMON DIALYSIS LLC ” Practice Location

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