CORDARY DIALYSIS LLC
NPI 1235900937
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Grand Forks, ND

NPI Status: Active since January 11, 2024

Contact Information

1300 S COLUMBIA RD
GRAND FORKS, ND
ZIP 58201
Phone: (701) 317-6153
Fax: (701) 963-6570

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
End-Stage Renal Disease (ESRD) Treatment
Accepts Insurance
CLIA Number: 35D2298079
CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
CLIA Exp. Date: 01-28-2026

About CORDARY DIALYSIS LLC

This page provides the complete NPI Profile along with additional information for Cordary Dialysis Llc, a provider established in Grand Forks, North Dakota operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1235900937 assigned on January 2024. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated January 2026. The provider's . The authorized official of this NPI record is Samuel T Wey (Vp, Licensure & Certification)

NPI: 1235900937
Provider Legal Name: CORDARY DIALYSIS LLC
Other Organization Name
Other Name Type: (6)
Entity Type: Organization
Location Address: 1300 S COLUMBIA RD GRAND FORKS, ND 58201
Location Phone: (701) 317-6153
Location Fax: (701) 963-6570
Mailing Address: 5200 VIRGINIA WAY ATTN: L&C DEPT BRENTWOOD, TN 37027
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 01-11-2024
Last Update Date: 01-13-2026
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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

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medica

Balance by Medica Bronze $0 Copay PCP Visits - EPO
Balance by Medica Bronze $0 Copay PCP Visits - PPO
Balance by Medica Bronze Premier - EPO
Balance by Medica Bronze Premier - PPO
Balance by Medica Expanded Bronze Standard - EPO
Balance by Medica Expanded Bronze Standard - PPO
Balance by Medica Gold $0 Copay PCP Visits - EPO
Balance by Medica Gold $0 Copay PCP Visits - PPO
Balance by Medica Gold Share - EPO
Balance by Medica Gold Share - PPO
Balance by Medica Gold Standard - EPO
Balance by Medica Gold Standard - PPO
Balance by Medica Silver $0 Copay PCP Visits - EPO
Balance by Medica Silver $0 Copay PCP Visits - PPO
Balance by Medica Silver Share - EPO
Balance by Medica Silver Share - PPO
Balance by Medica Silver Standard - EPO
Balance by Medica Silver Standard - PPO
Elevate by Medica Bronze $0 Copay PCP Visits - EPO
Elevate by Medica Bronze Premier - EPO

UnitedHealthcare

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
UHC Bronze Copay Focus (No Referrals) - HMO
UHC Bronze Copay Focus (Virtual Urgent Care, No Referrals) - EPO
UHC Bronze Copay Focus + (Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
UHC Bronze Essential ($0 Virtual Urgent Care) - HMO
UHC Bronze Essential- ($0 Virtual Urgent Care) - HMO
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals - HMO
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals) - EPO
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals) - HMO
UHC Bronze Essential (No Referrals) - EPO
UHC Bronze Essential (No Referrals) - HMO
UHC Bronze Essential+ (Dental + Vision, No Referrals) - HMO
UHC Bronze Standard - HMO
UHC Bronze Standard (No Referrals) - EPO
UHC Bronze Standard (No Referrals) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: SAMUEL T WEY
Authorized Official Title: VP, LICENSURE & CERTIFICATION
Authorized Official Phone: (615) 341-6641

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: 35D2298079
Facility Type: End Stage Renal Disease Dialysis Facility
Certificate Effective Date: January 29, 2024
Certificate Expiration Date: January 28, 2026
Laboratory Director: ADETOLA HAASTRUP
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Cordary 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.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1235900937, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 6

Pos 4

Unchanged

Pos 5

Doubled → 18 → 1 + 8

Pos 6

Unchanged

Pos 7

Doubled → 0

Pos 8

Unchanged

Pos 9

Doubled → 6

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 9 → 18 → 9 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 6 + 5 + 1 + 8 + 0 + 0 + 9 + 6 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7

This NPI is valid

The calculated check digit is 7, which matches the last digit of 1235900937.