OrganizationActive
Srs-Weber Valley, LLC
NPI 1568037786 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Marriott Slaterville, UT
Provider details
- NPI number
- 1568037786
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Jerome Tannenbaum, Ceo and Chairman of the Board
Practice location
1920 W 250 N
Marriott Slaterville, UT 84404-9233
Phone: (888) 883-0265
Fax: (855) 631-0206
Mailing address
Po Box 198813
Nashville, TN 37219-8813
Registry dates
- Enumerated
- 2021-05-20
- Last updated
- 2021-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.