Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lasalle Dialysis LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1194470872

Lasalle Dialysis LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Coudersport, Pennsylvania. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1001 E 2nd St
Coudersport, PA 16915-8161
Phone: (814) 655-3779
Fax: (814) 655-3791
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X

Record details

NPI number1194470872
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDavita Inc
Authorized official Samuel Wey — Vp L&C Dept · (615) 341-6641
Other names Coudersport Home Training; Coudersport Home Training
NPI enumeratedFebruary 21, 2022
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024
Mailing address5200 Virginia Way, Brentwood, TN 37027-7569