PIKE COUNTY HOME DIALYSIS
NPI 1023456787
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Bowling Green, MO

Active since June 04, 2013CLIA Certified · 3 labs
1015 W ADAMS ST, BOWLING GREEN, MO 63334(573) 324-5300 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pike County Home Dialysis NPPES

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

PIKE COUNTY HOME DIALYSIS (NPI 1023456787) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Bowling Green, Missouri and active in the NPI registry since June 2013. The organization holds 3 active CLIA laboratory certificates and lists Donovan Schultz, President, as its authorized official.

NPPES Registry Identity

NPI1023456787
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDIALYSIS CLINIC INC.
Location Address1015 W ADAMS STBowling Green, MO 63334-1974
Mailing Address3300 Lemone Industrial BlvdColumbia, MO 65201-8246 · (573) 443-1531
Organization SubpartNo
Authorized OfficialDonovan SchultzPresident · (615) 327-3061
Enumeration DateJune 4, 2013
Last NPPES UpdateOctober 4, 2023
NPPES CertifiedOctober 4, 2023
NPI 1023456787 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
1015 W ADAMS ST, Bowling Green, MO 63334

Other Names 1

Doing Business AsPike County Home Dialysis

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 26D0446244

Dialysis Clinic Inc · Columbia, MO
Active · expires Jul 18, 2027
CLIA Number26D0446244
Laboratory TypeOther
Certificate Effective DateJuly 19, 2025
Certificate Expiration DateJuly 18, 2027
Laboratory DirectorKurtis D. Tarwater
Laboratory Phone(573) 443-1531
Laboratory LocationDialysis Clinic Inc3300 Lemone Blvd, Columbia, MO 65201
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D0441167

Dialysis Clinic Inc · Bowling Green, MO
Active · expires Jul 18, 2027
CLIA Number26D0441167
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJuly 19, 2025
Certificate Expiration DateJuly 18, 2027
Laboratory DirectorPrashanth Podaralla
Laboratory Phone(573) 754-6239
Laboratory LocationDialysis Clinic Inc4 Town Center Dr Suite F, Bowling Green, MO 63334
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2082451

Dialysis Cliincs, Inc · Macon, MO
Active · expires Aug 13, 2026
CLIA Number26D2082451
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateAugust 14, 2024
Certificate Expiration DateAugust 13, 2026
Laboratory DirectorRoberta R. Simons
Laboratory Phone(573) 443-1531
Laboratory LocationDialysis Cliincs, Inc1203 N Missouri Street, Macon, MO 63552
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 6

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

Clinic/Center (Rural Health)
1015 W ADAMS ST
BOWLING GREEN, MO 63334
Nurse Practitioner (Family)
1015 W ADAMS ST
BOWLING GREEN, MO 63334
Specialist/Technologist (Athletic Trainer)
1015 W ADAMS ST
BOWLING GREEN, MO 63334
Physician Assistant (Medical)
1015 W ADAMS ST
BOWLING GREEN, MO 63334
Family Medicine
1015 W ADAMS ST
BOWLING GREEN, MO 63334
Family Medicine
1015 W ADAMS ST
BOWLING GREEN, MO 63334

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 Dialysis Clinic Inc.'s NPI number?

The NPI number for Dialysis Clinic Inc. is 1023456787. It was assigned to this organization in the NPPES registry on June 4, 2013. The provider is doing business as Pike County Home Dialysis.

Where is Dialysis Clinic Inc. located?

Dialysis Clinic Inc. is located at 1015 W Adams St, Bowling Green, MO 63334. The listed phone number is (573) 324-5300.

What is Dialysis Clinic Inc.'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 Dialysis Clinic Inc. 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 Dialysis Clinic Inc. was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.