U.S. RENAL CARE SOUTHWEST MESA DIALYSIS
NPI 1093098550
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Mesa, AZ

Active since September 21, 2011CLIA 03D0641900 · Waiver
1457 W SOUTHERN AVE, SUITE D-19, MESA, AZ 85202(480) 894-5411(480) 894-2607 Get Directions Write a Review

NPPES record last updated: January 4, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 4, 2021, Feb 15, 2016 (2 updates tracked since 2016).

  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • Accepts Insurance
  • CLIA Number: 03D0641900
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 05-11-2028

About U.S. RENAL CARE SOUTHWEST MESA DIALYSIS

This page provides the complete NPI Profile along with additional information for U.s. Renal Care Southwest Mesa Dialysis, a provider established in Mesa, Arizona operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1093098550 assigned on September 2011. The practitioner's primary taxonomy code is 261QE0700X with license number OTC3850 (AZ). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as U.s. Renal Care Southwest Mesa Dialysis. The authorized official of this NPI record is Thomas L. Weinberg (Authorized Official)

NPI
1093098550 Verify this NPI
Provider Legal Name
DIALYSIS NEWCO LLC
Other Organization Name
U.S. RENAL CARE SOUTHWEST MESA DIALYSIS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1457 W SOUTHERN AVE SUITE D-19 MESA, AZ 85202
Location Phone
(480) 894-5411
Location Fax
(480) 894-2607
Mailing Address
PO BOX 251549 PLANO, TX 75025
Mailing Phone
(615) 234-1188
Mailing Fax
(615) 234-9526
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-21-2011
Last Update Date
01-04-2021
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities
License No.
OTC3850
License State
AZ

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • AZ Blue ACA StandardHealth Silver with Health Choice - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

THOMAS L. WEINBERG

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(214) 736-2700

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D0641900
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
May 12, 2026
Certificate Expiration Date
May 11, 2028
Laboratory Director
KANWARDEEP SACHDEVA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to U.s. Renal Care Southwest Mesa Dialysis to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for U.S. RENAL CARE SOUTHWEST MESA DIALYSIS

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Physiological Laboratory
1457 W SOUTHERN AVE, STE 26
MESA, AZ 85202
Radiology (Vascular & Interventional Radiology)
1457 W SOUTHERN AVE, SUITE 26
MESA, AZ 85202
Physiological Laboratory
1457 W SOUTHERN AVE, SUITE 24
MESA, AZ 85202
Radiologic Technologist (Vascular-Interventional Technology)
1457 W SOUTHERN AVE, SUITE 26
MESA, AZ 85202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093098550, enumerated as an "organization" on September 21, 2011.

The provider is located at 1457 W SOUTHERN AVE SUITE D-19 MESA, AZ 85202 and the phone number is (480) 894-5411.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health and Blue. Please consult your insurance carrier or call the provider to verify.