OrganizationActive
Leasburg Dialysis LLC
NPI 1508159666 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Saint Louis, MO
Provider details
- NPI number
- 1508159666
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Wey, Vp Licensure & Certification(615) 341-6641
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12855 N 40 Dr
Suite Ll4
Saint Louis, MO 63141-8657
Phone: (314) 542-0049
Fax: (314) 542-0057
Street-level locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Town and Country West Dialysis
- Doing business as
- Town and Country West Dialysis
Registry dates
- Enumerated
- 2011-05-24
- Last updated
- 2025-03-20
- Certified
- 2025-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.