FRESENIUS MEDICAL CARE BRIDGEPORT
NPI 1114350485
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Chicago, IL
About Fresenius Medical Care Bridgeport NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FRESENIUS MEDICAL CARE BRIDGEPORT (NPI 1114350485) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Chicago, Illinois and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Barry L. Blanton, Vice President, as its authorized official.Information from the official NPPES registry record, last updated October 19, 2023.
NPPES Registry Identity
★ Primary Specialty
Also on File with NPPES
Dialysis Facility Compare Information
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
- 14D0716020
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- GORDON R. LANG MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Fresenius Medical Care Bridgeport 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.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
CHICAGO, IL 60609
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114350485, enumerated as an "organization" on August 09, 2013.
The provider is located at 825 W 35TH ST CHICAGO, IL 60609 and the phone number is (773) 890-4330.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.
The provider might be accepting Accepts: Oscar Health Insurance, Oscar Health Maintenance. Please consult your insurance carrier or call the provider to verify.