LITTLE ROCK MIDTOWN DIALYSIS
NPI 1265850275
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Tacoma, WA
NPI Status: Active since April 07, 2014
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- CLIA Number: 04D0947575
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 06-17-2026
About LITTLE ROCK MIDTOWN DIALYSIS
This page provides the complete NPI Profile along with additional information for Little Rock Midtown Dialysis, a provider established in Tacoma, Washington operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1265850275 assigned on April 2014. The practitioner's primary taxonomy code is 261QE0700X with license number 04D0947575 (AR). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Little Rock Midtown Dialysis. The authorized official of this NPI record is Kent Thiry Chairman (Ceo)
- NPI
- 1265850275
- Provider Legal Name
- CAPES DIALYSIS LLC
- Other Organization Name
- LITTLE ROCK MIDTOWN DIALYSIS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1423 PACIFIC AVE TACOMA, WA 98402
- Location Phone
- (253) 382-1752
- Mailing Address
- 2 LILE CT STE 102A LITTLE ROCK, AR 72205
- Mailing Phone
- (501) 221-3123
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-07-2014
- Last Update Date
- 04-21-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center End-Stage Renal Disease (ESRD) Treatment
- Taxonomy Code
- 261QE0700X
- Type
- Ambulatory Health Care Facilities
- License No.
- 04D0947575
- License State
- AR
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 190059134 | MEDICAID (05) | AR |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 04D0947575
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- June 18, 2024
- Certificate Expiration Date
- June 17, 2026
- Laboratory Director
- MICHAEL L. BIERLE M D
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Little Rock Midtown Dialysis to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 6 | 5 | 8 | 5 | 0 | 2 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 16 | 5 | 0 | 2 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 1 + 6 + 5 + 0 + 2 + 1 + 4 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1265850275 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1225456379 | NORTH LITTLE ROCK DIALYSIS Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 1423 PACIFIC AVE TACOMA, WA 98402 (253) 382-1752 |
| 1841618931 | QUACHITA DIALYSIS Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 1423 PACIFIC AVE TACOMA, WA 98402 (253) 382-1752 |
| 1124446208 | MENA DIALYSIS Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 1423 PACIFIC AVE TACOMA, WA 98402 (253) 382-1752 |
| 1811315971 | FAYETTEVILLE DIALYSIS Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 1423 PACIFIC AVE TACOMA, WA 98402 (253) 382-1752 |
| 1750709838 | CENTRAL LITTLE ROCK DIALYSIS Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 1423 PACIFIC AVE TACOMA, WA 98402 (253) 382-1752 |
| 1720406721 | ASHLEY DIALYSIS Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 1423 PACIFIC AVE TACOMA, WA 98402 (253) 382-1752 |
| 1093133001 | BRADLEY COUNTY DIALYSIS Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 1423 PACIFIC AVE TACOMA, WA 98402 (253) 382-1752 |
| 1467870469 | DEGRAY DIALYSIS Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 1423 PACIFIC AVE TACOMA, WA 98402 (253) 382-1752 |
| 1619395621 | SPRINGHILL DIALYSIS Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 1423 PACIFIC AVE TACOMA, WA 98402 (253) 382-1752 |
| 1184042186 | MALVERN DIALYSIS Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 1423 PACIFIC AVE TACOMA, WA 98402 (253) 382-1752 |
| 1356769368 | SPRINGHILL DIALYSIS Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 1423 PACIFIC AVE TACOMA, WA 98402 (253) 382-1752 |
| 1558789552 | QUACHITA VALLEY DIALYSIS Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 1423 PACIFIC AVE TACOMA, WA 98402 (253) 382-1752 |
| 1427477454 | RENAL CARE OF MARION Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 1423 PACIFIC AVE TACOMA, WA 98402 (253) 382-1752 |
| 1639597644 | SEARCY DIALYSIS Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 1423 PACIFIC AVE TACOMA, WA 98402 (253) 382-1752 |
| 1811315815 | RIVER VALLEY DIALYSIS Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 1423 PACIFIC AVE TACOMA, WA 98402 (253) 382-1752 |
| 1639597628 | BENTONVILLE DIALYSIS Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 1423 PACIFIC AVE TACOMA, WA 98402 (253) 382-1752 |
| 1740608744 | SPRINGDALE DIALYSIS Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 1423 PACIFIC AVE TACOMA, WA 98402 (253) 382-1752 |
| 1700204716 | CONWAY DIALYSIS Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 1423 PACIFIC AVE TACOMA, WA 98402 (253) 382-1752 |
| 1528486537 | SOUTHWEST ARKANSAS DIALYSIS Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 1423 PACIFIC AVE TACOMA, WA 98402 (253) 382-1752 |
| 1902224918 | MARKED TREE DIALYSIS Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 1423 PACIFIC AVE TACOMA, WA 98402 (253) 382-1752 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265850275, enumerated in the NPI registry as an "organization" on April 07, 2014
The provider is located at 1423 Pacific Ave Tacoma, Wa 98402 and the phone number is (253) 382-1752
This medical organization specializes in Clinic/Center with taxonomy code 261QE0700X with a focus in End-Stage Renal Disease (ESRD) Treatment
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 04D0947575 for a "end stage renal disease dialysis facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on April 07, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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