BEAUMONT KIDNEY SPECIALTY SERVICES LLC
NPI 1669703799
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Southfield, MI

Active since January 29, 2010
26400 W 12 MILE RD, SUITE 112, SOUTHFIELD, MI 48034(248) 457-7648 Get Directions Write a Review

NPPES record last updated: May 23, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Beaumont Kidney Specialty Services Llc NPPES

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

BEAUMONT KIDNEY SPECIALTY SERVICES LLC (NPI 1669703799) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Southfield, Michigan and active in the NPI registry since January 2010. The organization lists Sami Saleh Zarouk, President, as its authorized official.

NPPES Registry Identity

NPI1669703799
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameBEAUMONT KIDNEY SPECIALTY SERVICES LLC
Location Address26400 W 12 MILE RD, SUITE 112Southfield, MI 48034-1700
Mailing Address26400 W 12 Mile Rd, Suite 112Southfield, MI 48034-1700
Organization SubpartNo
Authorized OfficialSami Saleh ZaroukPresident · (248) 457-7648
Enumeration DateJanuary 29, 2010
Last NPPES UpdateMay 23, 2016
NPI 1669703799 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
26400 W 12 MILE RD, Southfield, MI 48034

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 23D2012091

Beaumont Kidney Specialty Services LLC · Southfield, MI
Expired · Aug 26, 2026
CLIA Number23D2012091
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateAugust 27, 2024
Certificate Expiration DateAugust 26, 2026
Laboratory DirectorDeborah Counts
Laboratory Phone(248) 228-8777
Laboratory LocationBeaumont Kidney Specialty Services LLC26400 W 12 Mile Road, Southfield, MI 48034
CLIA data matches this NPI record on: Address Name
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.

Psychiatry & Neurology (Neurology)
26400 W 12 MILE RD, STE 170
SOUTHFIELD, MI 48034
Eyewear Supplier
26400 W 12 MILE RD, SUITE 60
SOUTHFIELD, MI 48034
Urology
26400 W 12 MILE RD, SUITE 70
SOUTHFIELD, MI 48034
Dermatology (MOHS-Micrographic Surgery)
26400 W 12 MILE RD, SUITE 180
SOUTHFIELD, MI 48034
Ophthalmology
26400 W 12 MILE RD, STE 60
SOUTHFIELD, MI 48034
Specialist
26400 W 12 MILE RD, STE 38
SOUTHFIELD, MI 48034
Psychiatry & Neurology (Neurology)
26400 W 12 MILE RD, SUITE 170
SOUTHFIELD, MI 48034
Internal Medicine (Cardiovascular Disease)
26400 W 12 MILE RD, SUITE 120
SOUTHFIELD, MI 48034

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 Beaumont Kidney Specialty Services LLC's NPI number?

The NPI number for Beaumont Kidney Specialty Services LLC is 1669703799. It was assigned to this organization in the NPPES registry on January 29, 2010.

Where is Beaumont Kidney Specialty Services LLC located?

Beaumont Kidney Specialty Services LLC is located at 26400 W 12 Mile Rd Suite 112, Southfield, MI 48034. The listed phone number is (248) 457-7648.

What is Beaumont Kidney Specialty Services 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.

What insurance does Beaumont Kidney Specialty Services LLC accept?

Health plans from Priority Health list Beaumont Kidney Specialty Services LLC 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 Beaumont Kidney Specialty Services LLC was last updated on May 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.