LIFELINE DIALYSIS LLC
NPI 1568184604
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Greenville, TX

Active since September 15, 2022CLIA 45D1098023 · Waiver
4309 RIDGECREST RD STE 100, GREENVILLE, TX 75402(903) 455-9911 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifeline Dialysis Llc NPPES

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

LIFELINE DIALYSIS LLC (NPI 1568184604) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Greenville, Texas and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through April 8, 2027 and lists Biju Kuriakose, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1568184604
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameLIFELINE DIALYSIS LLC
Location Address4309 RIDGECREST RD STE 100Greenville, TX 75402-6003
Mailing Address4309 Ridgecrest Rd Ste 100Greenville, TX 75402-6003 · (903) 455-9911
Organization SubpartNo
Authorized OfficialBiju KuriakoseChief Operating Officer · (903) 455-9911
Enumeration DateSeptember 15, 2022
NPPES CertifiedSeptember 15, 2022
NPI 1568184604 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
4309 RIDGECREST RD STE 100, Greenville, TX 75402

Accepted Insurance

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 45D1098023

Lifeline Dialysis, LLC · Greenville, TX
Active · expires Apr 8, 2027
CLIA Number45D1098023
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateApril 9, 2025
Certificate Expiration DateApril 8, 2027
Laboratory DirectorAdeel Ijaz
Laboratory Phone(682) 429-4508
Laboratory LocationLifeline Dialysis, LLC4309 Ridgecrest Rd Suite 100, Greenville, TX 75402
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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)
4309 RIDGECREST RD STE 100
GREENVILLE, TX 75402
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
4309 RIDGECREST RD STE 100
GREENVILLE, TX 75402

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 Lifeline Dialysis LLC's NPI number?

The NPI number for Lifeline Dialysis LLC is 1568184604. It was assigned to this organization in the NPPES registry on September 15, 2022.

Where is Lifeline Dialysis LLC located?

Lifeline Dialysis LLC is located at 4309 Ridgecrest Rd Ste 100, Greenville, TX 75402. The listed phone number is (903) 455-9911.

What is Lifeline Dialysis 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 Lifeline Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1098023) is associated with this NPI, valid through April 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lifeline Dialysis LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Lifeline Dialysis LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lifeline Dialysis LLC was last updated on September 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.