WK RENAL DIALYSIS
NPI 1003020579
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Shreveport, LA
Overall Rating: 3 out of 5 stars
NPI Status: Active since May 10, 2007
Contact Information
1111 LINE AVENUE
SHREVEPORT, LA
ZIP 71101
Phone: (318) 212-4759
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- CLIA Number: 19D0977291
- CLIA Cert. Type: Other - CANCER CENTER
- CLIA Exp. Date: 01-15-2027
About WK RENAL DIALYSIS
This page provides the complete NPI Profile along with additional information for Wk Renal Dialysis, a provider established in Shreveport, Louisiana operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1003020579 assigned on May 2007. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Wk Renal Dialysis. The authorized official of this NPI record is Mary Jane Ward (Cfo)
- NPI
- 1003020579
- Provider Legal Name
- WILLIS KNIGHTON MEDICAL CENTER, INC.
- Other Organization Name
- WK RENAL DIALYSIS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1111 LINE AVENUE SHREVEPORT, LA 71101
- Location Phone
- (318) 212-4759
- Mailing Address
- 2600 GREENWOOD RD SHREVEPORT, LA 71103
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-10-2007
- Last Update Date
- 01-08-2025
- Code Navigator
According to the Dialysis Facility Compare program data, Wk Renal Dialysis has an average overall quality rating based on the patient's quality of care based on data that dialysis centers report to Medicare. The Quality of Patient Star Rating for this facility is 3 out of 5 stars.
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
Dialysis Facility Compare Information
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
- 19D0977291
- Facility Type
- Other - CANCER CENTER
- Certificate Effective Date
- January 16, 2025
- Certificate Expiration Date
- January 15, 2027
- Laboratory Director
- ANGELA LEHR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Wk Renal 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 NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1003020579, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 41. The final step is to find the difference between that total and the next multiple of ten (50 - 41 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 41 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003020579, enumerated as an "organization" on May 10, 2007.
The provider is located at 1111 LINE AVENUE SHREVEPORT, LA 71101 and the phone number is (318) 212-4759.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.
