HARBOR CITY DIALYSIS
NPI 1104823731
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Melbourne, FL

Q: What is Melbourne Kidney Center Inc's NPI number?

The NPI number for Melbourne Kidney Center Inc is 1104823731. It was assigned to this organization in the NPPES registry on June 28, 2005. The provider is doing business as Harbor City Dialysis.

Q: What is Melbourne Kidney Center 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.

Active since June 28, 2005CLIA 10D0023783 · Waiver

280 N WICKHAM RD, MELBOURNE, FL 32935(321) 308-5005(321) 308-5002 Get Directions Write a Review

NPPES record last updated: December 22, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Harbor City Dialysis NPPES

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

HARBOR CITY DIALYSIS (NPI 1104823731) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Melbourne, Florida and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Sadalia Bartman Gross, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104823731

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameMELBOURNE KIDNEY CENTER INC

Location Address280 N WICKHAM RDMelbourne, FL 32935-8650

Mailing Address280 N Wickham RdMelbourne, FL 32935-8650 · (321) 308-5005 · Fax (321) 308-5002

Phone(321) 308-5005

Fax(321) 308-5002

Organization SubpartNo

Authorized OfficialSadalia Bartman GrossAdministrator · (321) 724-0431

Enumeration DateJune 28, 2005

Last NPPES UpdateDecember 22, 2010

✔ NPI 1104823731 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

280 N WICKHAM RD, Melbourne, FL 32935

Open in Google Maps ↗

Other Names 1

Doing Business AsHarbor City Dialysis

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 10D0023783

Central Florida Kidney Center Inc Dba Melbourne Kidney Center · Melbourne, FL

Active · expires Aug 31, 2026

CLIA Number10D0023783

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorAnnette Miller

Laboratory Phone(321) 724-0431

Laboratory LocationCentral Florida Kidney Center Inc Dba Melbourne Kidney Center1400 S Apollo Blvd, Melbourne, FL 32901

CLIA data matches this NPI record on: Name Phone

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 Melbourne Kidney Center Inc's NPI number?

The NPI number for Melbourne Kidney Center Inc is 1104823731. It was assigned to this organization in the NPPES registry on June 28, 2005. The provider is doing business as Harbor City Dialysis.

Where is Melbourne Kidney Center Inc located?

Melbourne Kidney Center Inc is located at 280 N Wickham Rd, Melbourne, FL 32935. The listed phone number is (321) 308-5005.

What is Melbourne Kidney Center 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.

Does Melbourne Kidney Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0023783) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Melbourne Kidney Center Inc was last updated on December 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.