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PREMIER DIALYSIS SERVICE WEST MICHIGAN LLC
NPI 1285314617
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Kalamazoo, MI

Active since July 20, 2023CLIA 44D2318702 · Waiver
627 MILLS ST, KALAMAZOO, MI 49001(888) 543-6390 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 4, 2024, Apr 23, 2024, Jul 20, 2023 (3 updates tracked since 2023).

About Premier Dialysis Service West Michigan Llc NPPES

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

PREMIER DIALYSIS SERVICE WEST MICHIGAN LLC (NPI 1285314617) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Kalamazoo, Michigan and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through February 16, 2027 and lists Joshua Dipzinski, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285314617
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NamePREMIER DIALYSIS SERVICE WEST MICHIGAN LLC
Location Address627 MILLS STKalamazoo, MI 49001-2532
Mailing Address627 Mills StKalamazoo, MI 49001-2532
Phone(888) 543-6390
Organization SubpartNo
Authorized OfficialJoshua DipzinskiCeo · (888) 543-6390
Enumeration DateJuly 20, 2023
Last NPPES UpdateDecember 4, 20243 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
✔ NPI 1285314617 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
627 MILLS ST, Kalamazoo, MI 49001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 44D2318702

Premier Dialysis Service Tennessee LLC · Arlington, TN
Active · expires Feb 16, 2027
CLIA Number44D2318702
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateFebruary 17, 2025
Certificate Expiration DateFebruary 16, 2027
Laboratory DirectorAnna Lee-Mulay
Laboratory Phone(888) 543-6390
Laboratory LocationPremier Dialysis Service Tennessee LLC11762 Douglas St, Arlington, TN 38002
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D2307158

Premier Dialysis Service West Michigan LLC · Kalamazoo, MI
Expired · Jul 1, 2026
CLIA Number23D2307158
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJuly 2, 2024
Certificate Expiration DateJuly 1, 2026
Laboratory DirectorOliver Songlingco
Laboratory Phone(888) 543-6390
Laboratory LocationPremier Dialysis Service West Michigan LLC627 Mills Street, Kalamazoo, MI 49001
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREG DIALYSIS CONSULTING LLC
Registered Nurse (Dialysis, Peritoneal)
627 MILLS ST
KALAMAZOO, MI 49001
Kalamazoo County (269) 220-0390

Frequently Asked Questions

What is PREMIER DIALYSIS SERVICE WEST MICHIGAN LLC's NPI number?

The NPI number assigned to this healthcare provider is 1285314617, enumerated as an "organization" on July 20, 2023.

Where is the provider located?

The provider is located at 627 MILLS ST KALAMAZOO, MI 49001 and the phone number is (888) 543-6390.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

What insurance does PREMIER DIALYSIS SERVICE WEST MICHIGAN LLC accept?

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.