OrganizationActive
Blake Dialysis LLC
NPI 1659714558 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Milwaukee, WI
Provider details
- NPI number
- 1659714558
- 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
Practice location
4176 N 56th St
Milwaukee, WI 53216-1276
Phone: (414) 445-2119
Fax: (414) 445-3794
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Capitol Court Dialysis
- Doing business as
- Capitol Court Dialysis
Registry dates
- Enumerated
- 2013-04-10
- Last updated
- 2026-03-16
- Certified
- 2026-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.