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LIBERTY DIALYSIS - WEST JORDAN
NPI 1073846655
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in West Jordan, UT

Active since September 14, 2009CLIA 46D2007427 · Waiver
5/5
Overall Rating
3823 W 9000 S STE D, WEST JORDAN, UT 84088(801) 280-4600(801) 280-0444 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 17, 2023, Aug 4, 2021, Nov 8, 2017 (3 updates tracked since 2017).

About Liberty Dialysis - West Jordan NPPES

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

LIBERTY DIALYSIS - WEST JORDAN (NPI 1073846655) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in West Jordan, Utah and active in the NPI registry since September 2009. The organization holds a CLIA Waiver certificate valid through May 16, 2028 and lists Barry L. Blanton, Vice President, as its authorized official.

NPPES Registry Identity

NPI1073846655
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameLIBERTY DIALYSIS-JORDAN LANDING LLC
Location Address3823 W 9000 S STE DWest Jordan, UT 84088-5604
Mailing Address3823 W 9000 S Ste DWest Jordan, UT 84088-5604 · (801) 280-4600 · Fax (801) 280-0444
Phone(801) 280-4600
Fax(801) 280-0444
Organization SubpartYesParent: Fresenius Medical Care Holdings, Inc.
Authorized OfficialBarry L. BlantonVice President · (781) 699-9000
Enumeration DateSeptember 14, 2009
Last NPPES UpdateOctober 17, 20233 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
✔ NPI 1073846655 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
3823 W 9000 S STE D, West Jordan, UT 84088
Open in Google Maps ↗

Other Names 1

Doing Business AsLiberty Dialysis - West Jordan

Other Identifiers 1

Other46-2545UT · Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Regence BlueCross BlueShield of Utah and more.Insurance ›

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 46D2007427

Liberty Dialysis - West Jordan · West Jordan, UT
Active · expires May 16, 2028
CLIA Number46D2007427
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMay 17, 2026
Certificate Expiration DateMay 16, 2028
Laboratory DirectorArasu Gopinath
Laboratory Phone(801) 280-4600
Laboratory LocationLiberty Dialysis - West Jordan3823 West 9000 South Ste D, West Jordan, UT 84088
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for 462545 Liberty Dialysis West Jordan (fmc) (CMS certification number 462545), from CMS Care Compare.

462545 Liberty Dialysis West Jordan (fmc)

Dialysis facility · West Jordan, UT
5/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainFresenius Medical Care
CMS Certification Number462545
ESRD NetworkNetwork 15
Hemodialysis Stations13
Medicare-Certified SinceSeptember 8, 2010
Location3823 W 9000 S STE DWest Jordan, UT 84088 · Salt Lake County
Phone(801) 280-4600
Services Offered
In-center hemodialysis Peritoneal dialysis Evening shifts (after 5 PM)

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 Liberty Dialysis-Jordan Landing LLC's NPI number?

The NPI number for Liberty Dialysis-Jordan Landing LLC is 1073846655. It was assigned to this organization in the NPPES registry on September 14, 2009. The provider is doing business as Liberty Dialysis - West Jordan.

Where is Liberty Dialysis-Jordan Landing LLC located?

Liberty Dialysis-Jordan Landing LLC is located at 3823 W 9000 S Ste D, West Jordan, UT 84088. The listed phone number is (801) 280-4600.

What is Liberty Dialysis-Jordan Landing LLC'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 Liberty Dialysis-Jordan Landing LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2007427) is associated with this NPI, valid through May 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Liberty Dialysis-Jordan Landing LLC a Medicare-certified dialysis facility?

Yes. 462545 Liberty Dialysis West Jordan (fmc) is a Medicare-certified dialysis facility, certified since September 8, 2010.

What quality rating does Liberty Dialysis-Jordan Landing LLC have?

CMS rates 462545 Liberty Dialysis West Jordan (fmc) 5 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Liberty Dialysis-Jordan Landing LLC accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Regence BlueCross BlueShield of Utah, Select Health and UnitedHealthcare list Liberty Dialysis-Jordan Landing LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Liberty Dialysis-Jordan Landing LLC was last updated on October 17, 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.