Shade Dialysis LLC
NPI #1215483862 in Wagoner, Oklahoma
Provider Information
- NPI Number
- 1215483862
- Entity Type
- Organization
- Organization Name
- Shade Dialysis LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Sep 1, 2016
- Last Updated
- Aug 25, 2025
Practice Location
Authorized Official
- Name
- SAMUEL T WEY
- Title
- VP, LICENSURE & CERTIFICATION
- Phone
- (615) 341-6641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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