LEHIGH AVENUE DIALYSIS
NPI 1336758549
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Philadelphia, PA

Active since July 24, 2020CLIA 39D2094834 · Waiver
1300 W LEHIGH AVE, STE 106, PHILADELPHIA, PA 19132(215) 223-1018(215) 223-1019 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2024, Feb 7, 2022, Jul 24, 2020 (3 updates tracked since 2020).

About Lehigh Avenue Dialysis NPPES

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

LEHIGH AVENUE DIALYSIS (NPI 1336758549) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Philadelphia, Pennsylvania and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through April 23, 2027 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1336758549
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameISD RENAL INC
Location Address1300 W LEHIGH AVE, STE 106Philadelphia, PA 19132-2764
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Fax(215) 223-1019
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateJuly 24, 2020
Last NPPES UpdateNovember 19, 20243 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
NPI 1336758549 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
1300 W LEHIGH AVE, Philadelphia, PA 19132

Other Names 1

Doing Business AsLehigh Avenue Dialysis

Other Identifiers 1

Medicaid102029010PA

Accepted Insurance

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 39D2094834

Lehigh Avenue Dialysis · Philadelphia, PA
Active · expires Apr 23, 2027
CLIA Number39D2094834
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateApril 24, 2025
Certificate Expiration DateApril 23, 2027
Laboratory DirectorDr. Stephen Dimitriou
Laboratory Phone(215) 223-1018
Laboratory LocationLehigh Avenue Dialysis1300 West Lehigh Ave, Philadelphia, PA 19132
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 8

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

Family Medicine
1300 W LEHIGH AVE, SUITE A
PHILADELPHIA, PA 19132
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1300 W LEHIGH AVE, SUITE 106
PHILADELPHIA, PA 19132
Pediatrics
1300 W LEHIGH AVE, SUITE B
PHILADELPHIA, PA 19132
Social Worker (Clinical)
1300 W LEHIGH AVE
PHILADELPHIA, PA 19132
Physician Assistant (Medical)
1300 W LEHIGH AVE
PHILADELPHIA, PA 19132
Pediatrics
1300 W LEHIGH AVE, SUITE B
PHILADELPHIA, PA 19132
Family Medicine
1300 W LEHIGH AVE
PHILADELPHIA, PA 19132
Nurse Practitioner (Pediatrics)
1300 W LEHIGH AVE
PHILADELPHIA, PA 19132

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Isd Renal Inc's NPI number?

The NPI number for Isd Renal Inc is 1336758549. It was assigned to this organization in the NPPES registry on July 24, 2020. The provider is doing business as Lehigh Avenue Dialysis.

Where is Isd Renal Inc located?

Isd Renal Inc is located at 1300 W Lehigh Ave Ste 106, Philadelphia, PA 19132. The listed phone number is (215) 223-1018.

What is Isd Renal Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Isd Renal Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2094834) is associated with this NPI, valid through April 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Isd Renal Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 5 other insurers list Isd Renal Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Isd Renal Inc was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.