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SOUTHFIELD WEST DIALYSIS
NPI 1508828708
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Southfield, MI

Active since April 04, 2006CLIA 23D1001740 · Waiver
21900 MELROSE AVE, STE 4, SOUTHFIELD, MI 48075(248) 356-8079(248) 356-8151 Get Directions Write a Review

NPPES record last updated: January 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southfield West Dialysis NPPES

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

SOUTHFIELD WEST DIALYSIS (NPI 1508828708) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Southfield, Michigan and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through July 18, 2028 and lists James K Hilger, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1508828708
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameKIDNEY CENTERS OF MICHIGAN LLC
Location Address21900 MELROSE AVE, STE 4Southfield, MI 48075-7967
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 320-4214 · Fax (877) 735-8016
Phone(248) 356-8079
Fax(248) 356-8151
Organization SubpartNo
Authorized OfficialJames K HilgerChief Accounting Officer · (253) 733-4500
Enumeration DateApril 4, 2006
Last NPPES UpdateJanuary 17, 2014
✔ NPI 1508828708 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
21900 MELROSE AVE, Southfield, MI 48075
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Other Names 1

Doing Business AsSouthfield West Dialysis

Other Identifiers 2

Medicare OSCAR/certification232604
Medicaid4562180MI

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 23D1001740

Southfield West Dialysis · Southfield, MI
Active · expires Jul 18, 2028
CLIA Number23D1001740
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJuly 19, 2026
Certificate Expiration DateJuly 18, 2028
Laboratory DirectorFawaz Al-Ejel
Laboratory Phone(248) 356-8079
Laboratory LocationSouthfield West Dialysis21900 Melrose Avenue Suite 4, Southfield, MI 48075
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Kidney Centers Of Michigan LLC's NPI number?

The NPI number for Kidney Centers Of Michigan LLC is 1508828708. It was assigned to this organization in the NPPES registry on April 4, 2006. The provider is doing business as Southfield West Dialysis.

Where is Kidney Centers Of Michigan LLC located?

Kidney Centers Of Michigan LLC is located at 21900 Melrose Ave Ste 4, Southfield, MI 48075. The listed phone number is (248) 356-8079.

What is Kidney Centers Of Michigan 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 Kidney Centers Of Michigan LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1001740) is associated with this NPI, valid through July 18, 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 Kidney Centers Of Michigan LLC was last updated on January 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.