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LIBERTY DIALYSIS AT LAKELAND ROYALTON
NPI 1013231620
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Saint Joseph, MI

Active since March 25, 2010CLIA Certified · 3 labs
3772 HOLLYWOOD RD, SAINT JOSEPH, MI 49085(269) 428-7474 Get Directions Write a Review

NPPES record last updated: July 19, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Liberty Dialysis At Lakeland Royalton NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIBERTY DIALYSIS AT LAKELAND ROYALTON (NPI 1013231620) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Saint Joseph, Michigan and active in the NPI registry since March 2010. The organization holds 3 active CLIA laboratory certificates and lists Ryan Pardo, Vice President, as its authorized official.

NPPES Registry Identity

NPI1013231620
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameLIBERTY DIALYSIS - LAKELAND LLC
Location Address3772 HOLLYWOOD RDSaint Joseph, MI 49085-9550
Mailing Address7650 Se 27th St, Suite 200Mercer Island, WA 98040-3060
Phone(269) 428-7474
Organization SubpartNo
Authorized OfficialRyan PardoVice President · (206) 236-5001
Enumeration DateMarch 25, 2010
Last NPPES UpdateJuly 19, 2017
✔ NPI 1013231620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
3772 HOLLYWOOD RD, Saint Joseph, MI 49085
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Other Names 1

Doing Business AsLiberty Dialysis At Lakeland Royalton

Other Identifiers 1

Medicare OSCAR/certification232664MI

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2031559

Ldhb, LLC Dba Liberty Dialysis-Camp Hill · Lemoyne, PA
Active · expires Oct 20, 2027
CLIA Number39D2031559
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateOctober 21, 2025
Certificate Expiration DateOctober 20, 2027
Laboratory DirectorDr. Sangeeta Mital MD
Laboratory Phone(206) 236-5001
Laboratory LocationLdhb, LLC Dba Liberty Dialysis-Camp Hill500 N 12th St Suite 300, Lemoyne, PA 17043
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 31D1105625

Ldsp LLC Dba Liberty Dialysis - Linwood · Linwood, NJ
Active · expires Sep 24, 2027
CLIA Number31D1105625
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 25, 2025
Certificate Expiration DateSeptember 24, 2027
Laboratory DirectorEileen Walker
Laboratory Phone(206) 236-5001
Laboratory LocationLdsp LLC Dba Liberty Dialysis - Linwood1201 New Road Suite 170, Linwood, NJ 08221
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 02D1089823

Liberty Dialysis-Alaska LLC · Anchorage, AK
Active · expires Sep 25, 2026
CLIA Number02D1089823
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 26, 2024
Certificate Expiration DateSeptember 25, 2026
Laboratory DirectorJeremy J. Gitomer
Laboratory Phone(206) 236-5001
Laboratory LocationLiberty Dialysis-Alaska LLC901 East Dimond Blvd, Suite G, Anchorage, AK 99515
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3772 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Berrien County (269) 428-7481

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liberty Dialysis - Lakeland LLC's NPI number?

The NPI number for Liberty Dialysis - Lakeland LLC is 1013231620. It was assigned to this organization in the NPPES registry on March 25, 2010. The provider is doing business as Liberty Dialysis At Lakeland Royalton.

Where is Liberty Dialysis - Lakeland LLC located?

Liberty Dialysis - Lakeland LLC is located at 3772 Hollywood Rd, Saint Joseph, MI 49085. The listed phone number is (269) 428-7474.

What is Liberty Dialysis - Lakeland LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Liberty Dialysis - Lakeland LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Liberty Dialysis - Lakeland LLC was last updated on July 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.