CONECUH DIALYSIS LLC
NPI 1235667130
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Laurel, MD
Overall Rating: 3 out of 5 stars
NPI Status: Active since May 23, 2017
Contact Information
14500 LAUREL PL
LAUREL, MD
ZIP 20707
Phone: (301) 497-5454
Fax: (301) 776-2531
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- CLIA Number: 21D2132053
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 06-11-2027
About CONECUH DIALYSIS LLC
This page provides the complete NPI Profile along with additional information for Conecuh Dialysis Llc, a provider established in Laurel, Maryland operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1235667130 assigned on May 2017. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated April 2025. The provider's
- NPI
- 1235667130
- Provider Legal Name
- CONECUH DIALYSIS LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 14500 LAUREL PL LAUREL, MD 20707
- Location Phone
- (301) 497-5454
- Location Fax
- (301) 776-2531
- Mailing Address
- 5200 VIRGINIA WAY L&C DEPT BRENTWOOD, TN 37027
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-23-2017
- Last Update Date
- 04-02-2025
- Code Navigator
According to the Dialysis Facility Compare program data, Conecuh Dialysis Llc has an average overall quality rating based on the patient's quality of care based on data that dialysis centers report to Medicare. The Quality of Patient Star Rating for this facility is 3 out of 5 stars.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center End-Stage Renal Disease (ESRD) Treatment
- Taxonomy Code
- 261QE0700X
- Type
- Ambulatory Health Care Facilities
Dialysis Facility Compare Information
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D2132053
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- June 12, 2025
- Certificate Expiration Date
- June 11, 2027
- Laboratory Director
- QUAN WANG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Conecuh Dialysis Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 3 | 5 | 6 | 6 | 7 | 1 | 3 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 12 | 6 | 14 | 1 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 1 + 2 + 6 + 1 + 4 + 1 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1235667130 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235667130, enumerated as an "organization" on May 23, 2017.
The provider is located at 14500 LAUREL PL LAUREL, MD 20707 and the phone number is (301) 497-5454.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.
