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ISD RENAL INC FKA DSI RENAL INC
NPI 1235558073
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Tacoma, WA

Active since April 09, 2014CLIA 04D2075414 · Waiver
1423 PACIFIC AVE, TACOMA, WA 98402(253) 382-1752 Get Directions Write a Review

NPPES record last updated: April 9, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Isd Renal Inc Fka Dsi Renal Inc NPPES

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

ISD RENAL INC FKA DSI RENAL INC (NPI 1235558073) 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 March 26, 2028 and lists Kent Thiry, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235558073
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameOSCEOLA DIALYSIS
Location Address1423 PACIFIC AVETacoma, WA 98402-4203
Mailing Address1332 W Keiser AveOsceola, AR 72370-2919 · (870) 563-4901 · Fax (870) 563-4959
Phone(253) 382-1752
Organization SubpartNo
Authorized OfficialKent ThiryCeo · (303) 876-6000
Enumeration DateApril 9, 2014
✔ NPI 1235558073 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 · 04D0881442✔ Licensed in AR · 1174578595
1423 PACIFIC AVE, Tacoma, WA 98402
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Other Names 1

Other NameIsd Renal Inc Fka Dsi Renal Inc

Other Identifiers 1

Medicaid161527134AR

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 04D2075414

Osceola Dialysis · Osceola, AR
Active · expires Mar 26, 2028
CLIA Number04D2075414
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMarch 27, 2026
Certificate Expiration DateMarch 26, 2028
Laboratory DirectorMashhud M. Mirza
Laboratory Phone(870) 563-4901
Laboratory LocationOsceola Dialysis1332 Keisler Ave, Osceola, AR 72370
CLIA data matches this NPI record on: 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.

NORTH LITTLE ROCK DIALYSIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752
QUACHITA DIALYSIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752
MENA DIALYSIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752
FAYETTEVILLE DIALYSIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752
CENTRAL LITTLE ROCK DIALYSIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752
ASHLEY DIALYSIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752
BRADLEY COUNTY DIALYSIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752
DEGRAY DIALYSIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752

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 Osceola Dialysis's NPI number?

The NPI number for Osceola Dialysis is 1235558073. It was assigned to this organization in the NPPES registry on April 9, 2014. The provider is also known as Isd Renal Inc Fka Dsi Renal Inc.

Where is Osceola Dialysis located?

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

What is Osceola 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 Osceola Dialysis hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2075414) is associated with this NPI, valid through March 26, 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 Osceola Dialysis was last updated on April 9, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.