1. Home
  2. Directory
  3. Texas
  4. Midland
  5. Clinic Center
  6. NPI Profile

MIDLAND DIALYSIS CENTER
NPI 1053395103
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Midland, TX

Active since December 02, 2005CLIA 45D0660790 · Waiver
705 W WADLEY AVE, MIDLAND, TX 79705(432) 687-1201(432) 687-5008 Get Directions Write a Review

NPPES record last updated: February 14, 2008. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Midland Dialysis Center NPPES

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

MIDLAND DIALYSIS CENTER (NPI 1053395103) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Midland, Texas and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Douglas Park, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1053395103
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDOUGLAS PARK I LTD
Location Address705 W WADLEY AVEMidland, TX 79705-5351
Mailing Address705 W Wadley AveMidland, TX 79705-5351 · (432) 687-1201 · Fax (432) 687-5008
Phone(432) 687-1201
Fax(432) 687-5008
Organization SubpartNo
Authorized OfficialDouglas ParkMedical Director · (432) 687-4044
Enumeration DateDecember 2, 2005
Last NPPES UpdateFebruary 14, 2008
✔ NPI 1053395103 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 TX · 006898
705 W WADLEY AVE, Midland, TX 79705
Open in Google Maps ↗

Other Names 1

Other NameMidland Dialysis Center

Other Identifiers 2

OtherHH6176TX · Bc/bs
Medicare OSCAR/certification452622TX

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 45D0660790

Midland Dialysis · Midland, TX
Active · expires Aug 31, 2028
CLIA Number45D0660790
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorAnand Reddy
Laboratory Phone(989) 839-7770
Laboratory LocationMidland Dialysis207 Tradewinds Blvd, Midland, TX 79706
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Douglas Park I Ltd's NPI number?

The NPI number for Douglas Park I Ltd is 1053395103. It was assigned to this organization in the NPPES registry on December 2, 2005. The provider is also known as Midland Dialysis Center.

Where is Douglas Park I Ltd located?

Douglas Park I Ltd is located at 705 W Wadley Ave, Midland, TX 79705. The listed phone number is (432) 687-1201.

What is Douglas Park I Ltd'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 Douglas Park I Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0660790) is associated with this NPI, valid through August 31, 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 Douglas Park I Ltd was last updated on February 14, 2008. 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.