SOUTHEASTERN RENAL DIALYSIS L.C.
NPI: 1497711386
· MT PLEASANT, IA 52641
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 04/21/2006
Provider Details
| Authorized Official | LIECHTY, MARY (ADMINISTRATOR) |
| Parent Organization | SOUTHEASTERN RENAL DIALYSIS L.C. |
| NPI Enumeration Date | 04/21/2006 |
Related Entities
Other providers sharing the same authorized official: LIECHTY, MARY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
54 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
40 |
12 |
$1K |
| A4657 |
Syringe, with or without needle, each |
14 |
12 |
$0.00 |