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LAKE ROAD DIALYSIS
NPI 1700832318
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Milwaukie, OR

Active since May 25, 2006CLIA 38D0958698 · Waiver
3/5
Overall Rating
6902 SE LAKE RD, STE 100, MILWAUKIE, OR 97267(503) 794-1288(503) 794-5916 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2024, Jan 23, 2023, Jul 20, 2020 and 1 more (4 updates tracked since 2019).

About Lake Road Dialysis NPPES

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

LAKE ROAD DIALYSIS (NPI 1700832318) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Milwaukie, Oregon and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1700832318
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameISD RENAL INC
Location Address6902 SE LAKE RD, STE 100Milwaukie, OR 97267-2148
Mailing Address5200 Virginia Way, Att: Licensure & CertificationBrentwood, TN 37027-7569
Phone(503) 794-1288
Fax(503) 794-5916
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateMay 25, 2006
Last NPPES UpdateAugust 26, 20244 updates tracked since enumeration
NPPES CertifiedAugust 26, 2024
✔ NPI 1700832318 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
6902 SE LAKE RD, Milwaukie, OR 97267
Open in Google Maps ↗

Other Names 1

Doing Business AsLake Road Dialysis

Other Identifiers 1

Other170060OR · State

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter 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 38D0958698

Lake Road Dialysis · Milwaukie, OR
Active · expires Dec 31, 2027
CLIA Number38D0958698
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorJason Deville MD
Laboratory Phone(503) 794-1288
Laboratory LocationLake Road Dialysis6902 SE Lake Rd Ste 100, Milwaukie, OR 97267
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Lake Road Dialysis (CMS certification number 382534), from CMS Care Compare.

DaVita Lake Road Dialysis

Dialysis facility · Milwaukie, OR
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number382534
ESRD NetworkNetwork 16
Hemodialysis Stations21
Medicare-Certified SinceJuly 9, 1999
Location6902 SE LAKE ROAD STE 100Milwaukie, OR 97267 · Clackamas County
Phone(503) 794-1288
Services Offered
In-center hemodialysis Evening shifts (after 5 PM)

Patient Survey Results

Nephrologists’ communication and caring
Patients who reported their kidney doctors always communicated well and cared for them as a person.
71% 5/5
Dialysis center care and operations
Patients who reported center staff always communicated well, kept them as comfortable as possible, behaved professionally and kept the center clean.
60% 3/5
Providing information to patients
Patients who reported their kidney doctors and center staff gave them the information they needed to care for their health.
79% 3/5
Rating of the kidney doctors
Patients who rated their kidney doctors 9 or 10 on a scale of 0 (worst) to 10 (best).
69% 4/5
Rating of the dialysis center staff
Patients who rated the center staff 9 or 10 on a scale of 0 (worst) to 10 (best).
51% 2/5
Rating of the dialysis center
Patients who rated the dialysis center 9 or 10 on a scale of 0 (worst) to 10 (best).
65% 2/5
Percentages are patients giving the best possible responses in the In-Center Hemodialysis (ICH CAHPS) patient survey. Star ratings are assigned by CMS on a one-to-five star scale; five is the highest.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEAH A SWETNAM MD
Internal Medicine (Nephrology)
6902 SE LAKE RD
MILWAUKIE, OR 97267
Clackamas County (503) 786-1150
EEVA S GRAY RD, CDE
Dietitian, Registered
6902 SE LAKE RD, SUITE 100
MILWAUKIE, OR 97267
Clackamas County (503) 786-1149
ANAHATA MEDICINE
Acupuncturist
6902 SE LAKE RD, STE 203
MILWAUKIE, OR 97267
Clackamas County (503) 547-7870
DR. CATHRYN LEE WISE MD
Internal Medicine (Nephrology)
6902 SE LAKE RD, SUITE 100
MILWAUKIE, OR 97267
Clackamas County (503) 786-1167
HYON MI KIM RDH
Dental Hygienist
6902 SE LAKE RD
MILWAUKIE, OR 97267
Clackamas County (503) 659-0930
LOIS AMY TOBIN RD,CSR,LD
Dietitian, Registered (Nutrition, Renal)
6902 SE LAKE RD, SUITE 302
MILWAUKIE, OR 97267
Clackamas County (503) 786-1148
MARY JEDDA
Counselor (Addiction (Substance Use Disorder))
6902 SE LAKE RD
MILWAUKIE, OR 97267
Clackamas County (971) 400-9256
TIMOTHY PAVLATOS M.S.
Counselor (Professional)
6902 SE LAKE RD, SUITE 202
MILWAUKIE, OR 97267
Clackamas County (503) 652-2810

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 Isd Renal Inc's NPI number?

The NPI number for Isd Renal Inc is 1700832318. It was assigned to this organization in the NPPES registry on May 25, 2006. The provider is doing business as Lake Road Dialysis.

Where is Isd Renal Inc located?

Isd Renal Inc is located at 6902 SE Lake Rd Ste 100, Milwaukie, OR 97267. The listed phone number is (503) 794-1288.

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 38D0958698) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Isd Renal Inc a Medicare-certified dialysis facility?

Yes. DaVita Lake Road Dialysis is a Medicare-certified dialysis facility, certified since July 9, 1999.

What quality rating does Isd Renal Inc have?

CMS rates DaVita Lake Road Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Isd Renal Inc accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Kaiser Permanente and Moda Health Plan, Inc. and 4 other insurers list Isd Renal 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 Isd Renal Inc was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.