Isd Renal Inc

Specialty details in registry · Rolla, MO

Call (573) 458-2013 Directions

At a glance

1702 E 10Th St Ste B, Rolla, MO 65401-4868

NPPES record updated Mar 4, 2026. Public records can lag behind changes at a practice.

Before you call: a quick checklist

Are you accepting new patients?
Do you accept my specific insurance plan?
Do you provide the service I need at this address?
Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

1702 E 10Th St Ste B
Rolla, MO 65401-4868

Professional details: NPI, taxonomy & registry record

NPI1063923753

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QE0700X
Enumeration date: Oct 20, 2017
Record updated: Mar 4, 2026

More registry details

Provider type: Organization · Type 2
Other reported name: <UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QE0700X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1702 E 10Th St Ste B
Rolla, MO 65401-4868

Phone: (573) 458-2013
Fax: (573) 458-2094

Mailing address

5200 VIRGINIA WAY
L & C DEPARTMENT
BRENTWOOD, TN 370277569

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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