DIALYSIS CLINIC INC
NPI 1396255311
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Shreveport, LA

NPI Status: Active since October 04, 2017

Contact Information

2020 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA
ZIP 71118
Phone: (318) 683-4475
Fax: (318) 683-4476

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • CLIA Number: 19D0894581
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 11-16-2026

About DIALYSIS CLINIC INC

This page provides the complete NPI Profile along with additional information for Dialysis Clinic Inc, a provider established in Shreveport, Louisiana operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1396255311 assigned on October 2017. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Donovan Schultz (President)

NPI
1396255311
Provider Name
DIALYSIS CLINIC INC
Entity Type
Organization
Location Address
2020 BERT KOUNS INDUSTRIAL LOOP SHREVEPORT, LA 71118
Location Phone
(318) 683-4475
Location Fax
(318) 683-4476
Mailing Address
1322 KINGS HWY SHREVEPORT, LA 71103
Mailing Phone
(318) 226-1020
Mailing Fax
(318) 683-4476
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-04-2017
Last Update Date
10-04-2023
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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

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

DONOVAN SCHULTZ

Authorized Official Title
PRESIDENT
Authorized Official Phone
(615) 327-3061

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
19D0894581
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
November 17, 2024
Certificate Expiration Date
November 16, 2026
Laboratory Director
KENNETH ABREO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Dialysis Clinic 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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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 1396255311, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
1
Doubled → 2
Check
1
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 9 → 18 → 9 2 → 4 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 8 + 6 + 4 + 5 + 1 + 0 + 3 + 2 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1396255311.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Internal Medicine
2020 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118
Nurse Practitioner (Family)
2020 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396255311, enumerated as an "organization" on October 04, 2017.

The provider is located at 2020 BERT KOUNS INDUSTRIAL LOOP SHREVEPORT, LA 71118 and the phone number is (318) 683-4475.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.