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NORTHEAST TEXAS DIALYSIS UNIT
NPI 1578545539
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Atlanta, TX

Active since November 16, 2005CLIA 45D0909951 · Waiver
3/5
Overall Rating
606 LOOP 59, ATLANTA, TX 75551(903) 614-3601(903) 792-0951 Get Directions Write a Review

NPPES record last updated: March 23, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Northeast Texas Dialysis Unit NPPES

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

NORTHEAST TEXAS DIALYSIS UNIT (NPI 1578545539) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Atlanta, Texas and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through December 21, 2027 and lists Pat Roberts, Administrator, as its authorized official.

NPPES Registry Identity

NPI1578545539
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameCOLLOM & CARNEY CLINIC ASSOCIATION
Location Address606 LOOP 59Atlanta, TX 75551-1510
Mailing Address4800 Texas BlvdTexarkana, TX 75503-3033 · (903) 614-3600 · Fax (903) 792-0951
Phone(903) 614-3601
Fax(903) 792-0951
Organization SubpartNo
Authorized OfficialPat RobertsAdministrator · (903) 614-3601
Enumeration DateNovember 16, 2005
Last NPPES UpdateMarch 23, 2010
✔ NPI 1578545539 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
License✔ Licensed in TX · 000189
606 LOOP 59, Atlanta, TX 75551
Open in Google Maps ↗

Other Names 1

Doing Business AsNortheast Texas Dialysis Unit

Other Identifiers 4

Medicaid100702210COK
Medicaid087889401TX
Medicare OSCAR/certification452710
Medicaid149926734AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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 45D0909951

Northeast Texas Dialysis · Atlanta, TX
Active · expires Dec 21, 2027
CLIA Number45D0909951
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateDecember 22, 2025
Certificate Expiration DateDecember 21, 2027
Laboratory DirectorJason Lee
Laboratory Phone(903) 796-3311
Laboratory LocationNortheast Texas Dialysis413B Us 59, Atlanta, TX 75551
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Northeast Texas Dialysis (CMS certification number 452710), from CMS Care Compare.

DaVita Northeast Texas Dialysis

Dialysis facility · Atlanta, TX
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number452710
ESRD NetworkNetwork 14
Hemodialysis Stations13
Medicare-Certified SinceMay 1, 1995
Location413B LOOP 59Atlanta, TX 75551 · Cass County
Phone(903) 799-5843
Services Offered
In-center hemodialysis

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 Collom & Carney Clinic Association's NPI number?

The NPI number for Collom & Carney Clinic Association is 1578545539. It was assigned to this organization in the NPPES registry on November 16, 2005. The provider is doing business as Northeast Texas Dialysis Unit.

Where is Collom & Carney Clinic Association located?

Collom & Carney Clinic Association is located at 606 Loop 59, Atlanta, TX 75551. The listed phone number is (903) 614-3601.

What is Collom & Carney Clinic Association'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 Collom & Carney Clinic Association hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0909951) is associated with this NPI, valid through December 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Collom & Carney Clinic Association a Medicare-certified dialysis facility?

Yes. DaVita Northeast Texas Dialysis is a Medicare-certified dialysis facility, certified since May 1, 1995.

What quality rating does Collom & Carney Clinic Association have?

CMS rates DaVita Northeast Texas Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Collom & Carney Clinic Association accept?

Health plans from Blue Cross and Blue Shield of Texas list Collom & Carney Clinic Association 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 Collom & Carney Clinic Association was last updated on March 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.