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HUMBOLDT RIDGE DIALYSIS CENTER
NPI 1043491194
Clinic/Center in Milwaukee, WI

Active since November 16, 2007CLIA 52D2013611 · Waiver
2211 N HUMBOLDT BLVD, MILWAUKEE, WI 53212(414) 336-7200(414) 777-5210 Get Directions Write a Review

NPPES record last updated: December 27, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Humboldt Ridge Dialysis Center NPPES

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

HUMBOLDT RIDGE DIALYSIS CENTER (NPI 1043491194) is a healthcare organization registered as a clinic/center in Milwaukee, Wisconsin and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through September 21, 2026 and lists Barry Lee Luckenbill, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1043491194
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGARFIELD DIALYSIS VENTURE LLC
Location Address2211 N HUMBOLDT BLVDMilwaukee, WI 53212-3507
Mailing Address2514 S 102nd St, Suite 120West Allis, WI 53227-2142 · (414) 777-5200 · Fax (414) 777-5210
Phone(414) 336-7200
Fax(414) 777-5210
Organization SubpartNo
Authorized OfficialBarry Lee LuckenbillManaging Member · (414) 777-5200
Enumeration DateNovember 16, 2007
Last NPPES UpdateDecember 27, 2007
✔ NPI 1043491194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2211 N HUMBOLDT BLVD, Milwaukee, WI 53212
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Other Names 1

Doing Business AsHumboldt Ridge Dialysis Center

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 52D2013611

Humboldt Ridge Dialysis · Milwaukee, WI
Active · expires Sep 21, 2026
CLIA Number52D2013611
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 22, 2024
Certificate Expiration DateSeptember 21, 2026
Laboratory DirectorDr. Kamal Amin
Laboratory Phone(414) 336-7200
Laboratory LocationHumboldt Ridge Dialysis2211 N Humboldt Blvd, Milwaukee, WI 53212
CLIA data matches this NPI record on: Address Name 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.

TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2211 N HUMBOLDT BLVD
MILWAUKEE, WI 53212
Milwaukee County (414) 336-7200

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 Garfield Dialysis Venture LLC's NPI number?

The NPI number for Garfield Dialysis Venture LLC is 1043491194. It was assigned to this organization in the NPPES registry on November 16, 2007. The provider is doing business as Humboldt Ridge Dialysis Center.

Where is Garfield Dialysis Venture LLC located?

Garfield Dialysis Venture LLC is located at 2211 N Humboldt Blvd, Milwaukee, WI 53212. The listed phone number is (414) 336-7200.

What is Garfield Dialysis Venture LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Garfield Dialysis Venture LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2013611) is associated with this NPI, valid through September 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Garfield Dialysis Venture LLC was last updated on December 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.