IRC-RENASOLVE ROSEBURG JOINT VENTURE LLC
NPI 1245085836
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Roseburg, OR

Active since April 18, 2024CLIA 38D2303834 · Waiver
171 NW MEDICAL LOOP STE 109, ROSEBURG, OR 97471(541) 900-6910(541) 900-6911 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2024, Apr 18, 2024 (2 updates tracked since 2024).

About Irc-renasolve Roseburg Joint Venture Llc NPPES

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

IRC-RENASOLVE ROSEBURG JOINT VENTURE LLC (NPI 1245085836), doing business as Innovative Renal Care Roseburg, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Roseburg, Oregon and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through April 30, 2028 and lists Sara Anne Brady, Cno, as its authorized official.

NPPES Registry Identity

NPI1245085836
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameIRC-RENASOLVE ROSEBURG JOINT VENTURE LLC
Location Address171 NW MEDICAL LOOP STE 109Roseburg, OR 97471-8690
Mailing Address171 Nw Medical Loop Ste 109Roseburg, OR 97471-8690 · (541) 900-6910 · Fax (541) 900-6911
Fax(541) 900-6911
Organization SubpartNo
Authorized OfficialSara Anne BradyCno · (208) 371-7878
Enumeration DateApril 18, 2024
Last NPPES UpdateJune 8, 20262 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
NPI 1245085836 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
171 NW MEDICAL LOOP STE 109, Roseburg, OR 97471

Other Names 1

Doing Business AsInnovative Renal Care Roseburg

Accepted Insurance

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 38D2303834

Irc-Renasolve Roseburg Joint Venture, LLC · Roseburg, OR
Active · expires Apr 30, 2028
CLIA Number38D2303834
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorRubin Chandran
Laboratory Phone(541) 900-6910
Laboratory LocationIrc-Renasolve Roseburg Joint Venture, LLC171 NW Medical Loop, Suite 109, Roseburg, OR 97471
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Irc-Renasolve Roseburg Joint Venture LLC's NPI number?

The NPI number for Irc-Renasolve Roseburg Joint Venture LLC is 1245085836. It was assigned to this organization in the NPPES registry on April 18, 2024. The provider is doing business as Innovative Renal Care Roseburg.

Where is Irc-Renasolve Roseburg Joint Venture LLC located?

Irc-Renasolve Roseburg Joint Venture LLC is located at 171 NW Medical Loop Ste 109, Roseburg, OR 97471. The listed phone number is (541) 900-6910.

What is Irc-Renasolve Roseburg Joint Venture 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 Irc-Renasolve Roseburg Joint Venture LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2303834) is associated with this NPI, valid through April 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Irc-Renasolve Roseburg Joint Venture LLC accept?

Health plans from Kaiser Permanente and UnitedHealthcare list Irc-Renasolve Roseburg Joint Venture 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 Irc-Renasolve Roseburg Joint Venture LLC was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.