ISD RENAL INC FKA DSI RENAL INC
NPI 1427477454
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Tacoma, WA

Active since April 07, 2014CLIA 04D1021309 · Waiver
1423 PACIFIC AVE, TACOMA, WA 98402(253) 382-1752 Get Directions Write a Review

NPPES record last updated: April 7, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Isd Renal Inc Fka Dsi Renal Inc NPPES

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

ISD RENAL INC FKA DSI RENAL INC (NPI 1427477454) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Tacoma, Washington and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through January 19, 2028 and lists Kent Thiry, Ceo, as its authorized official.

NPPES Registry Identity

NPI1427477454
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameRENAL CARE OF MARION
Location Address1423 PACIFIC AVETacoma, WA 98402-4203
Mailing Address1120 State Highway 77, Ste 2Marion, AR 72364-9027 · (870) 735-4087 · Fax (870) 735-4062
Organization SubpartNo
Authorized OfficialKent ThiryCeo · (303) 876-6000
Enumeration DateApril 7, 2014
NPI 1427477454 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
Licenses Licensed in AR · 04D1021309 Licensed in AR · 1003861642
1423 PACIFIC AVE, Tacoma, WA 98402

Other Names 1

Other NameIsd Renal Inc Fka Dsi Renal Inc

Other Identifiers 1

Medicaid161607134AR

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 04D1021309

Renal Care Of Marion · Marion, AR
Active · expires Jan 19, 2028
CLIA Number04D1021309
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJanuary 20, 2026
Certificate Expiration DateJanuary 19, 2028
Laboratory DirectorMashhud M. Mirza
Laboratory Phone(870) 735-4087
Laboratory LocationRenal Care Of Marion1120 State Highway 77, Ste 2, Marion, AR 72364
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 20

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

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402

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 Renal Care Of Marion's NPI number?

The NPI number for Renal Care Of Marion is 1427477454. It was assigned to this organization in the NPPES registry on April 7, 2014. The provider is also known as Isd Renal Inc Fka Dsi Renal Inc.

Where is Renal Care Of Marion located?

Renal Care Of Marion is located at 1423 Pacific Ave, Tacoma, WA 98402. The listed phone number is (253) 382-1752.

What is Renal Care Of Marion'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 Renal Care Of Marion hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D1021309) is associated with this NPI, valid through January 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Renal Care Of Marion was last updated on April 7, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.