TYLER DIALYSIS LLC
NPI 1215287941
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Mount Laurel, NJ

Active since September 10, 2012
3/5
Overall Rating
3716 CHURCH RD, MOUNT LAUREL, NJ 08054(856) 222-0386(856) 235-0592 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2026, Oct 19, 2023, Jul 6, 2020 and 3 more (6 updates tracked since 2018).

About Tyler Dialysis Llc NPPES

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

TYLER DIALYSIS LLC (NPI 1215287941), doing business as Lourdes Innova Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Mount Laurel, New Jersey and active in the NPI registry since September 2012. The organization lists Samuel Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1215287941
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTYLER DIALYSIS LLC
Location Address3716 CHURCH RDMount Laurel, NJ 08054-1104
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Fax(856) 235-0592
Organization SubpartNo
Authorized OfficialSamuel WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateSeptember 10, 2012
Last NPPES UpdateMarch 6, 20266 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
NPI 1215287941 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 NJ · 24255
3716 CHURCH RD, Mount Laurel, NJ 08054

Other Names 1

Doing Business AsLourdes Innova Dialysis

Other Identifiers 1

Medicaid0318213NJ

Accepted Insurance

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Lourdes Innova Dialysis (CMS certification number 312594), from CMS Care Compare.

DaVita Lourdes Innova Dialysis

Dialysis facility · Mount Laurel, NJ
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number312594
ESRD NetworkNetwork 3
Hemodialysis Stations24
Medicare-Certified SinceMay 29, 2009
Location3716 Church RoadMount Laurel, NJ 08054 · Burlington County
Services Offered
In-center hemodialysis

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 Tyler Dialysis LLC's NPI number?

The NPI number for Tyler Dialysis LLC is 1215287941. It was assigned to this organization in the NPPES registry on September 10, 2012. The provider is doing business as Lourdes Innova Dialysis.

Where is Tyler Dialysis LLC located?

Tyler Dialysis LLC is located at 3716 Church Rd, Mount Laurel, NJ 08054. The listed phone number is (856) 222-0386.

What is Tyler 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.

Is Tyler Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Lourdes Innova Dialysis is a Medicare-certified dialysis facility, certified since May 29, 2009.

What quality rating does Tyler Dialysis LLC have?

CMS rates DaVita Lourdes Innova Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Tyler Dialysis LLC accept?

Health plans from Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and Oscar Insurance Company and 2 other insurers list Tyler Dialysis LLC 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 Tyler Dialysis LLC was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.