PREMIER DIALYSIS SERVICE CENTRAL MICHIGAN LLC
NPI 1164164182
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Fenton, MI
About Premier Dialysis Service Central Michigan Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMIER DIALYSIS SERVICE CENTRAL MICHIGAN LLC (NPI 1164164182) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Fenton, Michigan and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through June 17, 2028 and lists Joshua Dipzinski, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 23D2186517
Premier Dialysis, LLC · Lapeer, MIFrequently 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 Premier Dialysis Service Central Michigan LLC's NPI number?
The NPI number for Premier Dialysis Service Central Michigan LLC is 1164164182. It was assigned to this organization in the NPPES registry on April 11, 2022.
Where is Premier Dialysis Service Central Michigan LLC located?
Premier Dialysis Service Central Michigan LLC is located at 13044 Monington Ct, Fenton, MI 48430. The listed phone number is (810) 223-1938.
What is Premier Dialysis Service Central Michigan 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 Premier Dialysis Service Central Michigan LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2186517) is associated with this NPI, valid through June 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Premier Dialysis Service Central Michigan LLC was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Premier Dialysis Service Central Michigan Llc · NPI 1164164182
End-Stage Renal Disease (ESRD) Treatment organization in Fenton, Michigan. Organization record, active in the CMS NPPES registry since April 11, 2022.
## Identity
- **NPI:** 1164164182 (Entity type: Organization)
- **Enumerated:** April 11, 2022
- **Primary specialty:** Clinic/Center - End-Stage Renal Disease (ESRD) Treatment · taxonomy 261QE0700X
- **Organization subpart:** No
- **Authorized official:** Joshua Dipzinski, OWNER
## Practice location
- **Address:** 13044 MONINGTON CT, Fenton, MI 48430-1191
- **Phone:** (810) 223-1938
## Record status
- **NPPES last updated:** April 11, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164164182) · Data from the CMS NPPES public registry.