DIALYSIS CLINIC INC. - NPI 1053344531 - Clinic/Center in Grand Junction, CO

Q: What is Dialysis Clinic Inc.'s NPI number?

The NPI number for Dialysis Clinic Inc. is 1053344531. It was assigned to this organization in the NPPES registry on July 8, 2006.

Q: 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.

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About Dialysis Clinic Inc. NPPES

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

DIALYSIS CLINIC INC. (NPI 1053344531) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Grand Junction, Colorado and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through December 10, 2027 and lists Donovan Schultz, President, as its authorized official.

NPPES Registry Identity

NPI1053344531

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameDIALYSIS CLINIC INC.

Location Address2748 CROSSROADS BLVDGrand Junction, CO 81506-3933

Mailing Address2748 Crossroads BlvdGrand Junction, CO 81506-3933 · (970) 255-0900 · Fax (970) 255-0901

Phone(970) 255-0900

Fax(970) 255-0901

Organization SubpartNo

Authorized OfficialDonovan SchultzPresident · (615) 327-3061

Enumeration DateJuly 8, 2006

Last NPPES UpdateOctober 4, 20232 updates tracked since enumeration

NPPES CertifiedOctober 4, 2023

✔ NPI 1053344531 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 CO · 0940

2748 CROSSROADS BLVD, Grand Junction, CO 81506

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Other Identifiers 1

Medicaid69239738CO

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 06D0994295

Dialysis Clinic Inc Grand Junction · Grand Junction, CO

Active · expires Dec 10, 2027

CLIA Number06D0994295

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateDecember 11, 2025

Certificate Expiration DateDecember 10, 2027

Laboratory DirectorDr. Joseph S. Harawi

Laboratory Phone(970) 255-0900

Laboratory LocationDialysis Clinic Inc Grand Junction2748 Crossroads Blvd, Grand Junction, CO 81506

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 10

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

ALEXANDRA E STRAIGHT MD

Internal Medicine (Nephrology)