DIALYSIS CLINIC INC.
NPI 1669405049
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Enterprise, AL

Active since July 08, 2006CLIA 01D1030605 · Waiver
3861 SALEM RD., ENTERPRISE, AL 36330(334) 347-8233(334) 347-3814 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 4, 2023, Jul 15, 2019 (2 updates tracked since 2019).

About Dialysis Clinic Inc. NPPES

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

DIALYSIS CLINIC INC. (NPI 1669405049) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Enterprise, Alabama and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through September 9, 2026 and lists Donovan Schultz, President, as its authorized official.

NPPES Registry Identity

NPI1669405049
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDIALYSIS CLINIC INC.
Location Address3861 SALEM RD.Enterprise, AL 36330-7335
Mailing Address1630 Columbia HwyDothan, AL 36303-5434 · (334) 793-3519 · Fax (334) 793-6932
Fax(334) 347-3814
Organization SubpartNo
Authorized OfficialDonovan SchultzPresident · (615) 327-3061
Enumeration DateJuly 8, 2006
Last NPPES UpdateOctober 4, 20232 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
NPI 1669405049 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 AL · 07930
3861 SALEM RD., Enterprise, AL 36330

Other Identifiers 1

MedicaidDIA2527DAL

Accepted 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 01D1030605

Dialysis Clinic Inc · Enterprise, AL
Active · expires Sep 9, 2026
CLIA Number01D1030605
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 10, 2024
Certificate Expiration DateSeptember 9, 2026
Laboratory DirectorRavindranath Kantamneni MD
Laboratory Phone(334) 347-8233
Laboratory LocationDialysis Clinic Inc3861 Salem Road, Enterprise, AL 36330
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 Dialysis Clinic Inc.'s NPI number?

The NPI number for Dialysis Clinic Inc. is 1669405049. It was assigned to this organization in the NPPES registry on July 8, 2006.

Where is Dialysis Clinic Inc. located?

Dialysis Clinic Inc. is located at 3861 Salem Rd., Enterprise, AL 36330. The listed phone number is (334) 347-8233.

What is Dialysis Clinic 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 Dialysis Clinic Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D1030605) is associated with this NPI, valid through September 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dialysis Clinic Inc. accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Dialysis Clinic Inc. 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 Dialysis Clinic Inc. was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.