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LAKESIDE NEPHROLOGY, LTD.
NPI 1386807006
Specialist in Skokie, IL

Active since July 02, 2008CLIA 14D0986005 · Microscopy
9332 SKOKIE BLVD, SKOKIE, IL 60077(847) 581-0110(847) 581-1768 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakeside Nephrology, Ltd. NPPES

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

LAKESIDE NEPHROLOGY, LTD. (NPI 1386807006) is a healthcare organization registered as a specialist in Skokie, Illinois and active in the NPI registry since July 2008. The organization holds a CLIA Microscopy certificate valid through May 3, 2027 and lists Patricia Payne, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1386807006
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLAKESIDE NEPHROLOGY, LTD.
Location Address9332 SKOKIE BLVDSkokie, IL 60077-1309
Mailing Address9801 Woods DrSkokie, IL 60077-1074 · (847) 581-0110 · Fax (847) 581-1768
Phone(847) 581-0110
Fax(847) 581-1768
Organization SubpartYes
Authorized OfficialPatricia PaynePractice Manager · (847) 581-0110
Enumeration DateJuly 2, 2008
Last NPPES UpdateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
✔ NPI 1386807006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 36097354
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
9332 SKOKIE BLVD, Skokie, IL 60077
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 for Provider-Performed Microscopy Procedures (PPMP) 14D0986005

Lakeside Nephrology Ltd · Skokie, IL
Active · expires May 3, 2027
CLIA Number14D0986005
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMay 4, 2025
Certificate Expiration DateMay 3, 2027
Laboratory DirectorChristopher C. Najafi
Laboratory Phone(312) 345-0110
Laboratory LocationLakeside Nephrology Ltd9332 Skokie Blvd, Skokie, IL 60077
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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.

DIALYSIS CENTERS OF AMERICA - ILLINOIS, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
9332 SKOKIE BLVD
SKOKIE, IL 60077
Cook County (847) 581-1620

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 Lakeside Nephrology, Ltd.'s NPI number?

The NPI number for Lakeside Nephrology, Ltd. is 1386807006. It was assigned to this organization in the NPPES registry on July 2, 2008.

Where is Lakeside Nephrology, Ltd. located?

Lakeside Nephrology, Ltd. is located at 9332 Skokie Blvd, Skokie, IL 60077. The listed phone number is (847) 581-0110.

What is Lakeside Nephrology, Ltd.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Lakeside Nephrology, Ltd. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D0986005) is associated with this NPI, valid through May 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lakeside Nephrology, Ltd. was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.