ADVANCED KIDNEY CARE OF NORTH TEXAS, P.L.L.C. NPI 1003042177

Internal Medicine (Nephrology) in Garland, TX

NPI 1003042177 Organization Internal Medicine Nephrology CLIA Number 45D1107838 CLIA Certificate of Waiver

About ADVANCED KIDNEY CARE OF NORTH TEXAS, P.L.L.C.

Advanced Kidney Care Of North Texas, P.l.l.c. is an internal medicine provider established in Garland, Texas specializing in internal medicine (nephrology) . The NPI number of Advanced Kidney Care Of North Texas, P.l.l.c. is 1003042177 and was assigned on June 2009. The practitioner's primary taxonomy code is 207RN0300X with license number L3581 (TX). The provider is registered as an organization and their NPI record was last updated one year ago. Advanced Kidney Care Of North Texas, P.l.l.c. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Scott A Biedermann M.d. (Owner)

An internist like Advanced Kidney Care Of North Texas, P.l.l.c. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

The CLIA number of Advanced Kidney Care Of North Texas, P.l.l.c. is 45D1107838 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Advanced Kidney Care Of North Texas, P.l.l.c. 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.

NPI

1003042177

Provider NameADVANCED KIDNEY CARE OF NORTH TEXAS, P.L.L.C.
Provider Location Address7150 N PRESIDENT GEORGE BUSH HWY STE 205 GARLAND, TX 75044
Provider Mailing Address4708 ALLIANCE BLVD SUITE 600 PLANO, TX 75093
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date06-03-2009
Last Update Date07-07-2020


Primary Taxonomy

Taxonomy Code207RN0300X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationNephrology
License No.L3581
License StateTX
Taxonomy DescriptionAn internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Business Address

ADVANCED KIDNEY CARE OF NORTH TEXAS, P.L.L.C.
7150 N PRESIDENT GEORGE BUSH HWY STE 205
GARLAND, TX
ZIP 75044
Phone: (972) 276-0139
Fax: (972) 276-0149

Get Directions


Mailing Address

ADVANCED KIDNEY CARE OF NORTH TEXAS, P.L.L.C.
4708 ALLIANCE BLVD
SUITE 600
PLANO, TX
ZIP 75093
Phone: (469) 467-0011
Fax: (469) 467-4923



Authorized Official

Authorized Official NameMR. SCOTT A BIEDERMANN M.D.
Authorized Official TitleOWNER
Authorized Official Phone(214) 587-2149

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 the NPI number 1003042177 is:

CLIA Number45D1107838
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477576965 JOHN ROBERT HARTONO MD
Individual
Internal Medicine (Nephrology)7150 N PRESIDENT GEORGE BUSH HWY STE 205
GARLAND, TX 75044
(972) 276-0139
1114144052DR. ALICE LYNN HSU MD
Individual
Internal Medicine (Nephrology)7150 N PRESIDENT GEORGE BUSH HWY STE 205
GARLAND, TX 75044
(972) 276-0139

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.