DIALYSIS CLINIC INC.
NPI 1679592810
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Shreveport, LA

Q: What is Dialysis Clinic Inc.'s NPI number?

The NPI number for Dialysis Clinic Inc. is 1679592810. It was assigned to this organization in the NPPES registry on July 19, 2006.

Q: 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.

Active since July 19, 2006CLIA 19D1032483 · Waiver

1515 N HEARNE AVE, SHREVEPORT, LA 71107(318) 220-7012(318) 220-7013 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 5, 2023, Jul 15, 2019 (2 updates tracked since 2019).

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About Dialysis Clinic Inc. NPPES

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

DIALYSIS CLINIC INC. (NPI 1679592810) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Shreveport, Louisiana and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through October 24, 2026 and lists Donovan Schultz, President, as its authorized official.

NPPES Registry Identity

NPI1679592810

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameDIALYSIS CLINIC INC.

Location Address1515 N HEARNE AVEShreveport, LA 71107-7108

Mailing Address1515 N Hearne Ave, 1515 North HearneShreveport, LA 71107-7108 · (318) 220-7012 · Fax (318) 220-7013

Phone(318) 220-7012

Fax(318) 220-7013

Organization SubpartNo

Authorized OfficialDonovan SchultzPresident · (615) 327-3061

Enumeration DateJuly 19, 2006

Last NPPES UpdateOctober 5, 20232 updates tracked since enumeration

NPPES CertifiedOctober 5, 2023

✔ NPI 1679592810 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 LA · 140

1515 N HEARNE AVE, Shreveport, LA 71107

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Other Identifiers 2

Medicaid1627674LA

MedicaidHO4527918TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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 19D1032483

Dialysis Clinic Inc North Shreveport · Shreveport, LA

Active · expires Oct 24, 2026

CLIA Number19D1032483

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateOctober 25, 2024

Certificate Expiration DateOctober 24, 2026

Laboratory DirectorConstance Thomas

Laboratory Phone(318) 220-7012

Laboratory LocationDialysis Clinic Inc North Shreveport1515 North Hearne Avenue, Shreveport, LA 71107

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 1679592810. It was assigned to this organization in the NPPES registry on July 19, 2006.

Where is Dialysis Clinic Inc. located?

Dialysis Clinic Inc. is located at 1515 N Hearne Ave, Shreveport, LA 71107. The listed phone number is (318) 220-7012.

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 19D1032483) is associated with this NPI, valid through October 24, 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 from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana 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 5, 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.