ISD RENAL INC
NPI 1700748555
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Memphis, TN
About Isd Renal Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ISD RENAL INC (NPI 1700748555), doing business as Quince Road Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Memphis, Tennessee and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through September 21, 2026 and lists Samuel T Wey, Vp, Licensure & Certification, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 44D2084321
Isd Renal Inc Dba Quince Road Dialysis · Memphis, TNFrequently 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 Isd Renal Inc's NPI number?
The NPI number for Isd Renal Inc is 1700748555. It was assigned to this organization in the NPPES registry on December 1, 2025. The provider is doing business as Quince Road Dialysis.
Where is Isd Renal Inc located?
Isd Renal Inc is located at 6548 Quince Rd, Memphis, TN 38119. The listed phone number is (860) 690-2856.
What is Isd Renal 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 Isd Renal Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2084321) is associated with this NPI, valid through September 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Isd Renal Inc was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Isd Renal Inc · NPI 1700748555
End-Stage Renal Disease (ESRD) Treatment organization in Memphis, Tennessee. Organization record, active in the CMS NPPES registry since December 1, 2025.
## Identity
- **NPI:** 1700748555 (Entity type: Organization)
- **Enumerated:** December 1, 2025
- **Primary specialty:** Clinic/Center - End-Stage Renal Disease (ESRD) Treatment · taxonomy 261QE0700X
- **Also known as:** Quince Road Dialysis (Doing Business As)
- **Organization subpart:** Yes (part of Davita Inc)
- **Authorized official:** Samuel Wey, VP, LICENSURE & CERTIFICATION
## Practice location
- **Address:** 6548 QUINCE RD, Memphis, TN 38119-8211
- **Phone:** (860) 690-2856
## Record status
- **NPPES last updated:** December 1, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1700748555) · Data from the CMS NPPES public registry.