Provider Demographics
NPI:1497443832
Name:ATSION DIALYSIS, LLC
Entity Type:Organization
Organization Name:ATSION DIALYSIS, LLC
Other - Org Name:LAKE SUMTER DIALYSIS AT THE VILLAGES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR. DIRECTOR, LICENSURE AND CERT.
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-341-6691
Mailing Address - Street 1:5200 VIRGINIA WAY
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-7569
Mailing Address - Country:US
Mailing Address - Phone:615-320-4283
Mailing Address - Fax:800-320-3933
Practice Address - Street 1:1050 OLD CAMP RD STE 130
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162-1762
Practice Address - Country:US
Practice Address - Phone:352-743-2001
Practice Address - Fax:352-743-2023
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DAVITA INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-25
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment