ISD RENAL INC
NPI 1386506145
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Memphis, TN
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- CLIA Number: 44D1104889
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 09-10-2027
About ISD RENAL INC
This page provides the complete NPI Profile along with additional information for Isd Renal Inc, a provider established in Memphis, Tennessee operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1386506145 assigned on December 2025. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Samuel T Wey (Vp, Licensure & Certification)
- NPI
- 1386506145 Verify this NPI
- Provider Name
- ISD RENAL INC
- Entity Type
- Organization
- Location Address
- 4185 PACE RD MEMPHIS, TN 38116
- Location Phone
- (901) 568-4465
- Mailing Address
- 5200 VIRGINIA WAY ATTN LICENSURE & CERTIFICATION BRENTWOOD, TN 37027
- Mailing Phone
- (615) 946-1361
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 12-01-2025
- Last Update Date
- 12-01-2025
- 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
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
- 44D1104889
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- September 11, 2025
- Certificate Expiration Date
- September 10, 2027
- Laboratory Director
- OMER M. ASIF SIDDIQUI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Isd Renal Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
MEMPHIS, TN 38116
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386506145, enumerated as an "organization" on December 01, 2025.
The provider is located at 4185 PACE RD MEMPHIS, TN 38116 and the phone number is (901) 568-4465.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.
