LIBERTY DIALYSIS AT LAKELAND WATERVLIET
NPI 1629372628
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Watervliet, MI
NPI Status: Active since January 05, 2011
Contact Information
400 MEDICAL PARK DR
WATERVLIET, MI
ZIP 49098
Phone: (269) 684-0116
Fax: (269) 684-0271
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- CLIA Number: 23D1043626
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 07-27-2027
About LIBERTY DIALYSIS AT LAKELAND WATERVLIET
This page provides the complete NPI Profile along with additional information for Liberty Dialysis At Lakeland Watervliet, a provider established in Watervliet, Michigan operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1629372628 assigned on January 2011. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Liberty Dialysis At Lakeland Watervliet. The authorized official of this NPI record is Ryan B Pardo (Vice President)
- NPI
- 1629372628
- Provider Legal Name
- LDBH, LLC
- Other Organization Name
- LIBERTY DIALYSIS AT LAKELAND WATERVLIET
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 400 MEDICAL PARK DR WATERVLIET, MI 49098
- Location Phone
- (269) 684-0116
- Location Fax
- (269) 684-0271
- Mailing Address
- 7650 SE 27TH ST SUITE 200 MERCER ISLAND, WA 98040
- Mailing Phone
- (206) 588-8621
- Mailing Fax
- (269) 684-0271
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-05-2011
- Last Update Date
- 08-15-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center End-Stage Renal Disease (ESRD) Treatment
- Taxonomy Code
- 261QE0700X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D1043626
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- July 28, 2025
- Certificate Expiration Date
- July 27, 2027
- Laboratory Director
- GARY W. SCHER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Liberty Dialysis At Lakeland Watervliet to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1629372628, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 72 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
WATERVLIET, MI 49098
WATERVLIET, MI 49098
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629372628, enumerated as an "organization" on January 05, 2011.
The provider is located at 400 MEDICAL PARK DR WATERVLIET, MI 49098 and the phone number is (269) 684-0116.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.
