LAKE CHARLES DIALYSIS CENTER LLC
NPI 1306848205
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Lake Charles, LA
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
About LAKE CHARLES DIALYSIS CENTER LLC
This page provides the complete NPI Profile along with additional information for Lake Charles Dialysis Center Llc, a provider established in Lake Charles, Louisiana operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1306848205 assigned on August 2005. The practitioner's primary taxonomy code is 261QE0700X with license number 101 (LA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Tony W Leung Md (Medical Director)
- NPI
- 1306848205 Verify this NPI
- Provider Name
- LAKE CHARLES DIALYSIS CENTER LLC
- Entity Type
- Organization
- Location Address
- 1801 OAK PARK BLVD LAKE CHARLES, LA 70601
- Location Phone
- (337) 478-9585
- Location Fax
- (337) 479-0338
- Mailing Address
- PO BOX 4789 LAKE CHARLES, LA 70606
- Mailing Phone
- (337) 478-9585
- Mailing Fax
- (337) 479-0338
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-11-2005
- Last Update Date
- 08-22-2020
- 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
- License No.
- 101
- License State
- LA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1654205 | MEDICAID (05) | LA |
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
LAKE CHARLES, LA 70601
LAKE CHARLES, LA 70601
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306848205, enumerated as an "organization" on August 11, 2005.
The provider is located at 1801 OAK PARK BLVD LAKE CHARLES, LA 70601 and the phone number is (337) 478-9585.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
