FRESENIUS MEDICAL CARE NORTHEAST ATLANTA, LLC
NPI 1487293700
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Lilburn, GA
NPI Status: Active since January 03, 2020
Contact Information
4455 STONE MOUNTAIN HWY
LILBURN, GA
ZIP 30047
Phone: (678) 344-1586
Fax: (678) 344-1588
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- CLIA Number: 11D2132506
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 06-20-2027
About FRESENIUS MEDICAL CARE NORTHEAST ATLANTA, LLC
This page provides the complete NPI Profile along with additional information for Fresenius Medical Care Northeast Atlanta, Llc, a provider established in Lilburn, Georgia operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1487293700 assigned on January 2020. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is James Joseph Divito (Vice President)
- NPI
- 1487293700
- Provider Name
- FRESENIUS MEDICAL CARE NORTHEAST ATLANTA, LLC
- Entity Type
- Organization
- Location Address
- 4455 STONE MOUNTAIN HWY LILBURN, GA 30047
- Location Phone
- (678) 344-1586
- Location Fax
- (678) 344-1588
- Mailing Address
- 4455 STONE MOUNTAIN HWY LILBURN, GA 30047
- Mailing Phone
- (678) 344-1586
- Mailing Fax
- (678) 344-1588
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-03-2020
- Last Update Date
- 01-03-2020
- 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
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
- 11D2132506
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- June 21, 2025
- Certificate Expiration Date
- June 20, 2027
- Laboratory Director
- LORIN SANCHEZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Fresenius Medical Care Northeast Atlanta, Llc 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 | 4 | 8 | 7 | 2 | 9 | 3 | 7 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 16 | 7 | 4 | 9 | 6 | 7 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 6 + 7 + 4 + 9 + 6 + 7 + 0 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1487293700 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1386172674 | BIO-MEDICAL APPLICATIONS OF GEORGIA, INC. Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 4455 STONE MOUNTAIN HWY LILBURN, GA 30047 (678) 344-1586 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487293700, enumerated in the NPI registry as an "organization" on January 03, 2020
The provider is located at 4455 Stone Mountain Hwy Lilburn, Ga 30047 and the phone number is (678) 344-1586
This medical organization specializes in Clinic/Center with taxonomy code 261QE0700X with a focus in End-Stage Renal Disease (ESRD) Treatment
The provider's CLIA number is 11D2132506 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 January 03, 2020. 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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