Tidal Dialysis LLC
Director
Premila Bhat, M.D.
Expiration Date
Phone Number
(718) 899-0060
UID (Facility ID - Site ID)
M290-0000
Site ID
0000
City
Brooklyn
CLIA Number
33D2340428
Street Address
342 Himrod St
State
NY
Zip Code
11237
County
Kings
Country
United States
Fax Number
(718) 559-6758
Primary Contact
Srinivas Mahankali
Contact Phone Number
(718) 899-0060
Certificate Type
WAIVER
Tests
Glucose
Facility ID
M290