| Organization Name: | RENEX DIALYSIS CLINIC OF PITTSBURGH INC |
| NPI Number: | 1114021995 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK FAWCETT (TREASURER) |
| Mailing Address: | 575 Coal Valley Rd South Hills Medical Bldg., Suite 262 Clairton |
| State: | PA US |
| Postal Code: | 150253730 |
| Phone Number: | 4124697011 |
| Fax Number: | 4124697234 |
| NPI Enumeration Date: | 09/12/2006 |
| NPI Last Update Date: | 05/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |