Southlake Dialysis LLC
Southlake Dialysis LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Broken Arrow, Oklahoma. Medicare rates this dialysis facility 3 out of 5. Registered with an NPI since 2012.
- CMS rating
- 3 of 5
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
CMS quality rating
Practice location Address checks out
1710 N 9th StBroken Arrow, OK 74012-8283
Phone: (918) 355-0657
Fax: (918) 355-2800
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 number | 1568708279 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Samuel Wey — Vp Licensure & Certification · (615) 341-6641 |
| Other names | Broken Arrow Dialysis Center |
| NPI enumerated | December 27, 2012 |
| Last updated in NPPES | May 1, 2025 |
| Certification date | May 1, 2025 |
| Mailing address | 5200 Virginia Way, Attn: L&C Dept, Brentwood, TN 37027-7569 |
Other providers in Broken Arrow
-
Bliss Dialysis LLC
4800 W San Antonio St Ste 201, Broken Arrow, OK 74012-6156 · (918) 249-9716
-
Renal Treatment Centers West Inc
1710 N 9th St, Broken Arrow, OK 74012-8283 · (918) 355-0657
-
Total Renal Care Inc
4800 W San Antonio St Ste 103, Broken Arrow, OK 74012-6127 · (918) 307-1320