Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEGACY DIALYSIS OF RESTON LLC
Deactivated OrganizationLEGACY DIALYSIS OF RESTON LLC is a End-Stage Renal Disease Treatment Facility organization located in RESTON, Virginia. NPI 1720759814 is deactivated in the NPPES registry. Verify at CMS.
End-Stage Renal Disease Treatment Facility · RESTON, VA
This NPI has been deactivated.
The record was deactivated on March 4, 2023.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1720759814
- Provider Type
- Organization
- NPI Issued
- Sep 28, 2021 (1.4301369863014 yrs)
- Last Updated
- May 26, 2023
- Deactivated
- Mar 4, 2023
Practice Information
- Address
-
1897 PRESTON WHITE DR STE 105RESTON, VA, 201915475Browse VA providers · Browse ZIP 20191
- Phone
- 9547817741
- Fax
- 8883498679
- Primary Specialty
-
End-Stage Renal Disease Treatment Facility
261QE0700X
Other End-Stage Renal Disease Treatment Facility Organizations in RESTON, VA
| Name | NPI |
|---|---|
| RENAL CAREPARTNERS OF RESTON LLC | 1255317889 |
| LEGACY DIALYSIS OF RESTON CLINIC | 1316643067 |
| SYNERGY DIALYSIS OF PEMBROKE PINES, LLC | 1760285969 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.