LEXINGTON RENAL CARE
NPI 1184301269
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Philadelphia, PA
About Lexington Renal Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEXINGTON RENAL CARE (NPI 1184301269) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Philadelphia, Pennsylvania and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through August 4, 2027 and lists Mindee Posen, Medicare Administration Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 39D2328139
Lexington Renal Care · Philadelphia, PAOther Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19152
PHILADELPHIA, PA 19152
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 Roosevelt Dialysis LLC's NPI number?
The NPI number for Roosevelt Dialysis LLC is 1184301269. It was assigned to this organization in the NPPES registry on June 30, 2023. The provider is doing business as Lexington Renal Care.
Where is Roosevelt Dialysis LLC located?
Roosevelt Dialysis LLC is located at 7800 Bustleton Ave, Philadelphia, PA 19152. The listed phone number is (215) 722-2300.
What is Roosevelt Dialysis 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 Roosevelt Dialysis LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 39D2328139) is associated with this NPI, valid through August 4, 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 Roosevelt Dialysis LLC was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Lexington Renal Care · NPI 1184301269
End-Stage Renal Disease (ESRD) Treatment organization in Philadelphia, Pennsylvania. Organization record, active in the CMS NPPES registry since June 30, 2023.
## Identity
- **NPI:** 1184301269 (Entity type: Organization)
- **Enumerated:** June 30, 2023
- **Primary specialty:** Clinic/Center - End-Stage Renal Disease (ESRD) Treatment · taxonomy 261QE0700X
- **Legal business name:** Roosevelt Dialysis Llc
- **Organization subpart:** No
- **Authorized official:** Mindee Posen, MEDICARE ADMINISTRATION OFFICER
## Practice location
- **Address:** 7800 BUSTLETON AVE, Philadelphia, PA 19152-3812
- **Phone:** (215) 722-2300
## Record status
- **NPPES last updated:** November 1, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184301269) · Data from the CMS NPPES public registry.