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PRODIGY DIALYSIS
NPI 1043393440
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Johnstown, PA

Active since October 23, 2006CLIA 39D2182574 · Waiver
105 METZLER ST, JOHNSTOWN, PA 15904(814) 539-0798(814) 536-4751 Get Directions Write a Review

NPPES record last updated: February 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prodigy Dialysis NPPES

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

PRODIGY DIALYSIS (NPI 1043393440) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Johnstown, Pennsylvania and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through April 22, 2028 and lists George Joseph Frem, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1043393440
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NamePRODIGY DIALYSIS
Location Address105 METZLER STJohnstown, PA 15904-3124
Mailing Address105 Metzler StJohnstown, PA 15904-3124 · (814) 539-0798 · Fax (814) 536-4751
Phone(814) 539-0798
Fax(814) 536-4751
Organization SubpartNo
Authorized OfficialGeorge Joseph FremMedical Director · (814) 539-0798
Enumeration DateOctober 23, 2006
Last NPPES UpdateFebruary 5, 2013
✔ NPI 1043393440 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
License✔ Licensed in PA · MD042825E
105 METZLER ST, Johnstown, PA 15904
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CLIA Laboratory Certificates CMS CLIA

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 39D2182574

Prodigy Dialysis · Johnstown, PA
Active · expires Apr 22, 2028
CLIA Number39D2182574
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateApril 23, 2026
Certificate Expiration DateApril 22, 2028
Laboratory DirectorDr. George J. Frem
Laboratory Phone(814) 262-7560
Laboratory LocationProdigy Dialysis105 Metzler St, Johnstown, PA 15901
CLIA data matches this NPI record on: Address Name
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.

DIALCARE DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
105 METZLER ST
JOHNSTOWN, PA 15904
Cambria County (814) 262-7560

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 Prodigy Dialysis's NPI number?

The NPI number for Prodigy Dialysis is 1043393440. It was assigned to this organization in the NPPES registry on October 23, 2006.

Where is Prodigy Dialysis located?

Prodigy Dialysis is located at 105 Metzler St, Johnstown, PA 15904. The listed phone number is (814) 539-0798.

What is Prodigy Dialysis'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 Prodigy Dialysis hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2182574) is associated with this NPI, valid through April 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prodigy Dialysis was last updated on February 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.