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NORTHWEST DETROIT DIALYSIS CENTER LLC
NPI 1083634463
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Southfield, MI

Active since July 20, 2006CLIA Certified · 2 labs
25664 LAHSER RD, SOUTHFIELD, MI 48033(248) 358-7521(248) 358-7522 Get Directions Write a Review

NPPES record last updated: October 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northwest Detroit Dialysis Center Llc NPPES

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

NORTHWEST DETROIT DIALYSIS CENTER LLC (NPI 1083634463) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Southfield, Michigan and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists David F Shepherd, Vice President, as its authorized official.

NPPES Registry Identity

NPI1083634463
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameNORTHWEST DETROIT DIALYSIS CENTER LLC
Location Address25664 LAHSER RDSouthfield, MI 48033-5810
Mailing Address30100 Telegraph Rd, Suite 200Bingham Farms, MI 48025-4516 · (248) 723-0224 · Fax (248) 642-7852
Phone(248) 358-7521
Fax(248) 358-7522
Organization SubpartNo
Authorized OfficialDavid F ShepherdVice President · (248) 642-5038
Enumeration DateJuly 20, 2006
Last NPPES UpdateOctober 15, 2012
✔ NPI 1083634463 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
25664 LAHSER RD, Southfield, MI 48033
Open in Google Maps ↗

Other Identifiers 15

Other10078540001Wellness
Other14296M Care
Other232544Hap
OtherP09457Blue Care Network
Other138129Care Choices
Other1008733Omnicare
Other138129Preferred Choice
OtherD9466Fed Blue Cross Secondary
Medicaid4568218MI
OtherD9466Blue Cross Secondary
Other5066Greatlakes
OtherD8956Blue Cross Primary
Medicare ID-Type Unspecified232612MI
Other000000003402Cape
OtherD8956Fed Blue Cross Primary

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 23D1014292

Northwest Detroit Dialysis Lahser Satellite · Southfield, MI
Active · expires Jun 30, 2027
CLIA Number23D1014292
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorIrfan Omar
Laboratory Phone(248) 358-7521
Laboratory LocationNorthwest Detroit Dialysis Lahser Satellite25664 Lahser Road, Southfield, MI 48034
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D2011636

Northwest Detroit Dialysis Center LLC · Southfield, MI
Active · expires Aug 18, 2026
CLIA Number23D2011636
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateAugust 19, 2024
Certificate Expiration DateAugust 18, 2026
Laboratory DirectorMuhammad Ahsan
Laboratory Phone(248) 642-5038
Laboratory LocationNorthwest Detroit Dialysis Center LLC21000 Northwestern Hwy, Southfield, MI 48037
CLIA data matches this NPI record on: 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.

KATHRYN HAYTER NURSE PRACTITIONER
Nurse Practitioner (Women's Health)
25664 LAHSER RD
SOUTHFIELD, MI 48033
Oakland County (248) 358-7521

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 Northwest Detroit Dialysis Center LLC's NPI number?

The NPI number for Northwest Detroit Dialysis Center LLC is 1083634463. It was assigned to this organization in the NPPES registry on July 20, 2006.

Where is Northwest Detroit Dialysis Center LLC located?

Northwest Detroit Dialysis Center LLC is located at 25664 Lahser Rd, Southfield, MI 48033. The listed phone number is (248) 358-7521.

What is Northwest Detroit Dialysis Center 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 Northwest Detroit Dialysis Center LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Northwest Detroit Dialysis Center LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Northwest Detroit Dialysis Center 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 Northwest Detroit Dialysis Center LLC was last updated on October 15, 2012. 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.