RENTAL TREATMENT CTRS SOUTHEAST LP
NPI 1184042186
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Tacoma, WA

Active since April 07, 2014CLIA 04D1012185 · Waiver
1423 PACIFIC AVE, TACOMA, WA 98402(253) 382-1752 Get Directions Write a Review

NPPES record last updated: April 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rental Treatment Ctrs Southeast Lp NPPES

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

RENTAL TREATMENT CTRS SOUTHEAST LP (NPI 1184042186) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Tacoma, Washington and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through January 2, 2027 and lists Kent Thiry, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184042186
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameMALVERN DIALYSIS
Location Address1423 PACIFIC AVETacoma, WA 98402-4203
Mailing Address1590 Tanner StRockport, AR 72104-2023 · (501) 332-3000 · Fax (501) 332-5858
Organization SubpartNo
Authorized OfficialKent ThiryCeo · (303) 876-6000
Enumeration DateApril 7, 2014
NPI 1184042186 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
Licenses Licensed in AR · 04D1012185 Licensed in AR · 1700120110
1423 PACIFIC AVE, Tacoma, WA 98402

Other Names 1

Other NameRental Treatment Ctrs Southeast Lp

Other Identifiers 1

Medicaid198764134AR

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 04D1012185

Malvern Dialysis · Rockport, AR
Active · expires Jan 2, 2027
CLIA Number04D1012185
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDasaradha Uyyala
Laboratory Phone(501) 332-3000
Laboratory LocationMalvern Dialysis1590 Tanner St, Rockport, AR 72104
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402

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 Malvern Dialysis's NPI number?

The NPI number for Malvern Dialysis is 1184042186. It was assigned to this organization in the NPPES registry on April 7, 2014. The provider is also known as Rental Treatment Ctrs Southeast LP.

Where is Malvern Dialysis located?

Malvern Dialysis is located at 1423 Pacific Ave, Tacoma, WA 98402. The listed phone number is (253) 382-1752.

What is Malvern Dialysis'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 Malvern Dialysis hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D1012185) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Malvern Dialysis was last updated on April 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.