RENAL CENTER OF TYLER, LP, LLLP
NPI 1124043187
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Tyler, TX

Active since July 12, 2006CLIA 45D1011785 · Waiver
510 S SOUTHWEST LOOP 323, STE 580, TYLER, TX 75702(903) 596-0102(903) 596-9704 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 14, 2025, Jun 13, 2024, Sep 26, 2022 and 5 more (8 updates tracked since 2018).

About Renal Center Of Tyler, Lp, Lllp NPPES

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

RENAL CENTER OF TYLER, LP, LLLP (NPI 1124043187), doing business as Renal Center Of Tyler, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Tyler, Texas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through September 5, 2026 and lists Samuel Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1124043187
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameRENAL CENTER OF TYLER, LP, LLLP
Location Address510 S SOUTHWEST LOOP 323, STE 580Tyler, TX 75702-7693
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Fax(903) 596-9704
Organization SubpartNo
Authorized OfficialSamuel WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateJuly 12, 2006
Last NPPES UpdateJune 8, 20268 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
NPI 1124043187 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
License Licensed in TX · 007969
510 S SOUTHWEST LOOP 323, Tyler, TX 75702

Other Names 1

Doing Business AsRenal Center Of Tyler

Other Identifiers 1

Medicaid162343103TX

Accepted 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 45D1011785

Renal Center Of Tyler · Tyler, TX
Active · expires Sep 5, 2026
CLIA Number45D1011785
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 6, 2024
Certificate Expiration DateSeptember 5, 2026
Laboratory DirectorMadeline Jimenez-Torres
Laboratory Phone(903) 596-0102
Laboratory LocationRenal Center Of Tyler510 Ssw Loop 323 Suite 580, Tyler, TX 75702
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 Renal Center Of Tyler, LP, Lllp's NPI number?

The NPI number for Renal Center Of Tyler, LP, Lllp is 1124043187. It was assigned to this organization in the NPPES registry on July 12, 2006. The provider is doing business as Renal Center Of Tyler.

Where is Renal Center Of Tyler, LP, Lllp located?

Renal Center Of Tyler, LP, Lllp is located at 510 S Southwest Loop 323 Ste 580, Tyler, TX 75702. The listed phone number is (903) 596-0102.

What is Renal Center Of Tyler, LP, Lllp'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 Renal Center Of Tyler, LP, Lllp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1011785) is associated with this NPI, valid through September 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Renal Center Of Tyler, LP, Lllp accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Renal Center Of Tyler, LP, Lllp 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 Renal Center Of Tyler, LP, Lllp was last updated on June 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.