MUKWONAGO DIALYSIS CENTER
NPI 1578649109
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Mukwonago, WI

Q: What is Purity Dialysis Centers, Inc's NPI number?

The NPI number for Purity Dialysis Centers, Inc is 1578649109. It was assigned to this organization in the NPPES registry on October 27, 2006. The provider is doing business as Mukwonago Dialysis Center.

Q: What is Purity Dialysis Centers, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Active since October 27, 2006CLIA 52D0988765 · Waiver

400 BAY VIEW RD STE F, MUKWONAGO, WI 53149(262) 363-1925(262) 363-1928 Get Directions Write a Review

NPPES record last updated: May 13, 2010. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Mukwonago Dialysis Center NPPES

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

MUKWONAGO DIALYSIS CENTER (NPI 1578649109) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Mukwonago, Wisconsin and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through July 8, 2027 and lists Tina M Waldron, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1578649109

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NamePURITY DIALYSIS CENTERS, INC

Location Address400 BAY VIEW RD STE FMukwonago, WI 53149-1745

Mailing Address2301 Sun Valley Dr Ste 200Delafield, WI 53018-2318 · (262) 646-4162 · Fax (262) 646-2498

Phone(262) 363-1925

Fax(262) 363-1928

Organization SubpartNo

Authorized OfficialTina M WaldronBilling Supervisor · (262) 646-6426

Enumeration DateOctober 27, 2006

Last NPPES UpdateMay 13, 2010

✔ NPI 1578649109 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

400 BAY VIEW RD STE F, Mukwonago, WI 53149

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Other Names 1

Doing Business AsMukwonago Dialysis Center

Other Identifiers 3

Other52D0988765WI · Mdc Clia #

Medicare PIN522521WI

Medicaid42053800WI

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 52D0988765

Mukwonago Dialysis · Mukwonago, WI

Active · expires Jul 8, 2027

CLIA Number52D0988765

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateJuly 9, 2025

Certificate Expiration DateJuly 8, 2027

Laboratory DirectorImran Sajjad

Laboratory Phone(262) 363-1925

Laboratory LocationMukwonago Dialysis400 Bay View Rd Suite F, Mukwonago, WI 53149

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 Purity Dialysis Centers, Inc's NPI number?

The NPI number for Purity Dialysis Centers, Inc is 1578649109. It was assigned to this organization in the NPPES registry on October 27, 2006. The provider is doing business as Mukwonago Dialysis Center.

Where is Purity Dialysis Centers, Inc located?

Purity Dialysis Centers, Inc is located at 400 Bay View Rd Ste F, Mukwonago, WI 53149. The listed phone number is (262) 363-1925.

What is Purity Dialysis Centers, Inc'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 Purity Dialysis Centers, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0988765) is associated with this NPI, valid through July 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Purity Dialysis Centers, Inc was last updated on May 13, 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.