Srs-Provo, LLC
Srs-Provo, LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Provo, Utah. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1675 N Freedom BlvdProvo, UT 84604-2540
Phone: (888) 881-7854
Fax: (885) 631-0206
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 | 1679147904 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jerome Tannenbaum — Ceo And Chairman Of The Board · (615) 467-0140 |
| NPI enumerated | May 20, 2021 |
| Last updated in NPPES | May 21, 2021 |
| Certification date | May 21, 2021 |
| Mailing address | Po Box 198813, Nashville, TN 37219-8813 |
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