LIBERTY DIALYSIS AT LAKELAND ROYALTON
NPI 1013231620
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Saint Joseph, MI
NPI Status: Active since March 25, 2010
Contact Information
3772 HOLLYWOOD RD
SAINT JOSEPH, MI
ZIP 49085
Phone: (269) 428-7474
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- CLIA Number: 02D1089823
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 09-25-2026
About LIBERTY DIALYSIS AT LAKELAND ROYALTON
This page provides the complete NPI Profile along with additional information for Liberty Dialysis At Lakeland Royalton, a provider established in Saint Joseph, Michigan operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1013231620 assigned on March 2010. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Liberty Dialysis At Lakeland Royalton. The authorized official of this NPI record is Ryan Pardo (Vice President)
- NPI
- 1013231620
- Provider Legal Name
- LIBERTY DIALYSIS - LAKELAND LLC
- Other Organization Name
- LIBERTY DIALYSIS AT LAKELAND ROYALTON
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3772 HOLLYWOOD RD SAINT JOSEPH, MI 49085
- Location Phone
- (269) 428-7474
- Mailing Address
- 7650 SE 27TH ST SUITE 200 MERCER ISLAND, WA 98040
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-25-2010
- Last Update Date
- 07-19-2017
- 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
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 |
|---|---|---|---|
| 232664 | MEDICARE OSCAR/CERTIFICATION (06) | MI |
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
- 02D1089823
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- September 26, 2024
- Certificate Expiration Date
- September 25, 2026
- Laboratory Director
- JEREMY J. GITOMER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Liberty Dialysis At Lakeland Royalton 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.
Reviews for LIBERTY DIALYSIS AT LAKELAND ROYALTON
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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 1013231620, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
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 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
SAINT JOSEPH, MI 49085
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013231620, enumerated as an "organization" on March 25, 2010.
The provider is located at 3772 HOLLYWOOD RD SAINT JOSEPH, MI 49085 and the phone number is (269) 428-7474.
Clinic/Center with taxonomy code 261QE0700X and 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 verify.
