ADVANCED DIALYSIS CENTER EASTON
NPI 1255787115
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Easton, MD

Q: What is Advanced Dialysis Center, LLC's NPI number?

The NPI number for Advanced Dialysis Center, LLC is 1255787115. It was assigned to this organization in the NPPES registry on May 10, 2016. The provider is doing business as Advanced Dialysis Center Easton.

Q: What is Advanced Dialysis Center, 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.

Active since May 10, 2016CLIA 21D2185100 · Waiver

610 DUTCHMANS LN, EASTON, MD 21601(410) 820-9873 Get Directions Write a Review

NPPES record last updated: January 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 15, 2020, May 10, 2016 (2 updates tracked since 2016).

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About Advanced Dialysis Center Easton NPPES

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

ADVANCED DIALYSIS CENTER EASTON (NPI 1255787115) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Easton, Maryland and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through April 24, 2028 and lists Minessia Zarita Pearson, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1255787115

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameADVANCED DIALYSIS CENTER, LLC

Location Address610 DUTCHMANS LNEaston, MD 21601-3346

Mailing Address9320 Annapolis RdLanham, MD 20706-3100 · (301) 577-1007

Phone(410) 820-9873

Organization SubpartYes

Authorized OfficialMinessia Zarita PearsonChief Financial Officer · (301) 577-1007

Enumeration DateMay 10, 2016

Last NPPES UpdateJanuary 15, 20202 updates tracked since enumeration

✔ NPI 1255787115 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 MD · E2649

610 DUTCHMANS LN, Easton, MD 21601

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Other Names 1

Doing Business AsAdvanced Dialysis Center Easton

Other Identifiers 1

Medicaid4112326MD

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 21D2185100

Advanced Dialysis Center - Crofton · Crofton, MD

Active · expires Apr 24, 2028

CLIA Number21D2185100

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateApril 25, 2026

Certificate Expiration DateApril 24, 2028

Laboratory DirectorDr. Kryt Chattrabhuti

Laboratory Phone(301) 577-1007

Laboratory LocationAdvanced Dialysis Center - Crofton2131 Davidsonville Road, Crofton, MD 21114

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.

MESSANVI M GOZO CRNP

Nurse Practitioner (Adult Health)