SOUTHWEST KIDNEY DIALYSIS - PHOENIX
NPI 1336155753
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Phoenix, AZ

NPI Status: Active since July 31, 2006

Contact Information

337 E CORONADO RD
SUITE 101
PHOENIX, AZ
ZIP 85004
Phone: (480) 610-6100
Fax: (480) 610-6195

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
End-Stage Renal Disease (ESRD) Treatment
CLIA Number: 03D2035415
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 01-17-2028

About SOUTHWEST KIDNEY DIALYSIS - PHOENIX

This page provides the complete NPI Profile along with additional information for Southwest Kidney Dialysis - Phoenix, a provider established in Phoenix, Arizona operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1336155753 assigned on July 2006. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The provider's is doing business as Southwest Kidney Dialysis - Phoenix. The authorized official of this NPI record is Michelle R. Mauvais (Chief Financial Officer)

NPI: 1336155753
Provider Legal Name: SOUTHWEST KIDNEY DIALYSIS, LLC
Other Organization Name: SOUTHWEST KIDNEY DIALYSIS - PHOENIX
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 337 E CORONADO RD SUITE 101 PHOENIX, AZ 85004
Location Phone: (480) 610-6100
Location Fax: (480) 610-6195
Mailing Address: 2149 E WARNER RD SUITE 101 TEMPE, AZ 85284
Mailing Phone: (480) 610-6110
Mailing Fax: (480) 610-6195
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 07-31-2006
Last Update Date: 10-30-2007
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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

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MICHELLE R. MAUVAIS
Authorized Official Title: CHIEF FINANCIAL OFFICER
Authorized Official Phone: (480) 610-6110

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
032611	MEDICARE OSCAR/CERTIFICATION (06)	AZ

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: 03D2035415
Facility Type: Physician Office
Certificate Effective Date: January 18, 2026
Certificate Expiration Date: January 17, 2028
Laboratory Director: CLYDE C. MENDONCA
Certificate Type: Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description: This CLIA certificate is issued to Southwest Kidney Dialysis - Phoenix in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1336155753, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 6

Pos 4

Unchanged

Pos 5

Doubled → 2

Pos 6

Unchanged

Pos 7

Doubled → 10 → 1 + 0

Pos 8

Unchanged

Pos 9

Doubled → 10 → 1 + 0

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 1 → 2 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 6 + 6 + 2 + 5 + 1 + 0 + 7 + 1 + 0 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3

This NPI is valid

The calculated check digit is 3, which matches the last digit of 1336155753.