LIBERTY DIALYSIS AT LAKELAND WATERVLIET
NPI 1629372628
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Watervliet, MI

Active since January 05, 2011CLIA 23D1043626 · Waiver
400 MEDICAL PARK DR, WATERVLIET, MI 49098(269) 684-0116(269) 684-0271 Get Directions Write a Review

NPPES record last updated: August 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Liberty Dialysis At Lakeland Watervliet NPPES

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

LIBERTY DIALYSIS AT LAKELAND WATERVLIET (NPI 1629372628) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Watervliet, Michigan and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through July 27, 2027 and lists Ryan B Pardo, Vice President, as its authorized official.

NPPES Registry Identity

NPI1629372628
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameLDBH, LLC
Location Address400 MEDICAL PARK DRWatervliet, MI 49098-9225
Mailing Address7650 Se 27th St, Suite 200Mercer Island, WA 98040-3060 · (206) 588-8621 · Fax (206) 588-8661
Fax(269) 684-0271
Organization SubpartNo
Authorized OfficialRyan B PardoVice President · (206) 236-5001
Enumeration DateJanuary 5, 2011
Last NPPES UpdateAugust 15, 2012
NPI 1629372628 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 MEDICAL PARK DR, Watervliet, MI 49098

Other Names 1

Doing Business AsLiberty Dialysis At Lakeland Watervliet

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 23D1043626

Liberty Dialysis Lakeland LLC Dba Liberty Dialysis At Lakeland Niles · Niles, MI
Active · expires Jul 27, 2027
CLIA Number23D1043626
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorGary W. Scher
Laboratory Phone(269) 684-0116
Laboratory LocationLiberty Dialysis Lakeland LLC Dba Liberty Dialysis At Lakeland Niles8 Longmeadow Village Dr, Niles, MI 49120
CLIA data matches this NPI record on: 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.

Rehabilitation Unit
400 MEDICAL PARK DR
WATERVLIET, MI 49098
Clinical Neuropsychologist
400 MEDICAL PARK DR
WATERVLIET, MI 49098
Internal Medicine
400 MEDICAL PARK DR
WATERVLIET, MI 49098
Occupational Therapist
400 MEDICAL PARK DR
WATERVLIET, MI 49098
Specialist
400 MEDICAL PARK DR
WATERVLIET, MI 49098
Physical Medicine & Rehabilitation
400 MEDICAL PARK DR
WATERVLIET, MI 49098
Obstetrics & Gynecology
400 MEDICAL PARK DR, SUITE 200
WATERVLIET, MI 49098
Occupational Therapist (Physical Rehabilitation)
400 MEDICAL PARK DR
WATERVLIET, MI 49098

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 Ldbh, LLC's NPI number?

The NPI number for Ldbh, LLC is 1629372628. It was assigned to this organization in the NPPES registry on January 5, 2011. The provider is doing business as Liberty Dialysis At Lakeland Watervliet.

Where is Ldbh, LLC located?

Ldbh, LLC is located at 400 Medical Park Dr, Watervliet, MI 49098. The listed phone number is (269) 684-0116.

What is Ldbh, 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 Ldbh, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1043626) is associated with this NPI, valid through July 27, 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 Ldbh, LLC was last updated on August 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.