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LAWTON DIALYSIS CENTER-EAST LLC
NPI 1376053892
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Lawton, OK

Active since October 11, 2017CLIA 37D2090955 · Waiver
4516 SE LEE BLVD, LAWTON, OK 73501(580) 351-1430(580) 351-9980 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 12, 2023, Aug 18, 2022, Mar 10, 2020 and 2 more (5 updates tracked since 2017).

About Lawton Dialysis Center-east Llc NPPES

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

LAWTON DIALYSIS CENTER-EAST LLC (NPI 1376053892) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Lawton, Oklahoma and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through February 2, 2027 and lists Bali Reddy Sodam, Owner, as its authorized official.

NPPES Registry Identity

NPI1376053892
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameLAWTON DIALYSIS CENTER-EAST LLC
Location Address4516 SE LEE BLVDLawton, OK 73501-6558
Mailing Address4516 Se Lee BlvdLawton, OK 73501-6558 · (580) 351-1430 · Fax (580) 351-9980
Phone(580) 351-1430
Fax(580) 351-9980
Organization SubpartNo
Authorized OfficialBali Reddy SodamOwner · (580) 536-5273
Enumeration DateOctober 11, 2017
Last NPPES UpdateJanuary 12, 20235 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2023
✔ NPI 1376053892 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
4516 SE LEE BLVD, Lawton, OK 73501
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Other Identifiers 1

Medicaid200753010AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.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 37D2090955

Lawton Dialysis · Lawton, OK
Active · expires Feb 2, 2027
CLIA Number37D2090955
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateFebruary 3, 2025
Certificate Expiration DateFebruary 2, 2027
Laboratory DirectorJoseph Ghata
Laboratory Phone(580) 595-4987
Laboratory LocationLawton Dialysis1110 SW B Ave, Lawton, OK 73501
CLIA data matches this NPI record on: Name
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.

LAWTON DIALYSIS, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
4516 SE LEE BLVD
LAWTON, OK 73501
Comanche County (580) 351-1430

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 Lawton Dialysis Center-East LLC's NPI number?

The NPI number for Lawton Dialysis Center-East LLC is 1376053892. It was assigned to this organization in the NPPES registry on October 11, 2017.

Where is Lawton Dialysis Center-East LLC located?

Lawton Dialysis Center-East LLC is located at 4516 SE Lee Blvd, Lawton, OK 73501. The listed phone number is (580) 351-1430.

What is Lawton Dialysis Center-East LLC'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 Lawton Dialysis Center-East LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2090955) is associated with this NPI, valid through February 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lawton Dialysis Center-East LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Lawton Dialysis Center-East LLC 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 Lawton Dialysis Center-East LLC was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.