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RENAL TREATMENT CTRS SOUTHEAST LP
NPI 1649698648
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Tacoma, WA

Active since April 07, 2014CLIA 04D0900655 · Waiver
1423 PACIFIC AVE, TACOMA, WA 98402(253) 382-1752 Get Directions Write a Review

NPPES record last updated: April 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Renal Treatment Ctrs Southeast Lp NPPES

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

RENAL TREATMENT CTRS SOUTHEAST LP (NPI 1649698648) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Tacoma, Washington and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through January 2, 2027 and lists Kent Thiry, Ceo, as its authorized official.

NPPES Registry Identity

NPI1649698648
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSOUTH ARKANSAS DIALYSIS
Location Address1423 PACIFIC AVETacoma, WA 98402-4203
Mailing Address620 W Grove StEl Dorado, AR 71730-4462 · (870) 862-8788 · Fax (870) 862-5756
Phone(253) 382-1752
Organization SubpartNo
Authorized OfficialKent ThiryCeo · (303) 876-6000
Enumeration DateApril 7, 2014
✔ NPI 1649698648 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
Licenses✔ Licensed in AR · 04D0900655✔ Licensed in AR · 1508100017
1423 PACIFIC AVE, Tacoma, WA 98402
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Other Names 1

Other NameRenal Treatment Ctrs Southeast Lp

Other Identifiers 1

Medicaid198755134AR

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 04D0900655

South Arkansas Dialysis · El Dorado, AR
Active · expires Jan 2, 2027
CLIA Number04D0900655
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorMichael D. Schonefeld
Laboratory Phone(870) 862-8788
Laboratory LocationSouth Arkansas Dialysis620 West Grove, El Dorado, AR 71730
CLIA data matches this NPI record on: Address Name 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.

CAPES DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752
BRADLEY COUNTY DIALYSIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752
MENA DIALYSIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752
CAPES DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752
MALVERN DIALYSIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752
NORTH LITTLE ROCK DIALYSIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752
OSCEOLA DIALYSIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752
CAPES DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752

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 South Arkansas Dialysis's NPI number?

The NPI number for South Arkansas Dialysis is 1649698648. It was assigned to this organization in the NPPES registry on April 7, 2014. The provider is also known as Renal Treatment Ctrs Southeast LP.

Where is South Arkansas Dialysis located?

South Arkansas Dialysis is located at 1423 Pacific Ave, Tacoma, WA 98402. The listed phone number is (253) 382-1752.

What is South Arkansas Dialysis'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 South Arkansas Dialysis hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D0900655) is associated with this NPI, valid through January 2, 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 South Arkansas Dialysis was last updated on April 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.