FREEPORT KIDNEY CENTER
NPI 1265697643
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Freeport, NY
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- CLIA Number: 33D0153089
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 03-26-2027
About FREEPORT KIDNEY CENTER
This page provides the complete NPI Profile along with additional information for Freeport Kidney Center, a provider established in Freeport, New York operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1265697643 assigned on July 2008. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Freeport Kidney Center. The authorized official of this NPI record is Jim Hilger (Vice President)
- NPI
- 1265697643 Verify this NPI
- Provider Legal Name
- DAVITA OF NEW YORK INC
- Other Organization Name
- FREEPORT KIDNEY CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 267 W MERRICK RD FREEPORT, NY 11520
- Location Phone
- (516) 379-5000
- Location Fax
- (516) 379-0257
- Mailing Address
- 5200 VIRGINIA WAY STE 400 L&C BRENTWOOD, TN 37027
- Mailing Phone
- (615) 320-4521
- Mailing Fax
- (866) 594-2894
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-24-2008
- Last Update Date
- 07-24-2008
- Code Navigator
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
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
- 33D0153089
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- January 17, 2008
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- DR. PAUL FRIEDMANN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Freeport Kidney Center 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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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
FREEPORT, NY 11520
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265697643, enumerated as an "organization" on July 24, 2008.
The provider is located at 267 W MERRICK RD FREEPORT, NY 11520 and the phone number is (516) 379-5000.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.
