WEST BROADWAY DIALYSIS
NPI 1710079876
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Louisville, KY
About West Broadway Dialysis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WEST BROADWAY DIALYSIS (NPI 1710079876) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Louisville, Kentucky and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through November 16, 2026 and lists Thomas O Usilton, Sr Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 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 18D1061420
West Broadway Dialysis · Louisville, KYOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOUISVILLE, KY 40202
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 La Grange Dialysis LLC's NPI number?
The NPI number for La Grange Dialysis LLC is 1710079876. It was assigned to this organization in the NPPES registry on September 28, 2006. The provider is doing business as West Broadway Dialysis.
Where is La Grange Dialysis LLC located?
La Grange Dialysis LLC is located at 720 W Broadway, Louisville, KY 40202. The listed phone number is (502) 584-2059.
What is La Grange Dialysis 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.
Does La Grange Dialysis LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D1061420) is associated with this NPI, valid through November 16, 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 La Grange Dialysis LLC was last updated on August 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# West Broadway Dialysis · NPI 1710079876
End-Stage Renal Disease (ESRD) Treatment organization in Louisville, Kentucky. Organization record, active in the CMS NPPES registry since September 28, 2006.
## Identity
- **NPI:** 1710079876 (Entity type: Organization)
- **Enumerated:** September 28, 2006
- **Primary specialty:** Clinic/Center - End-Stage Renal Disease (ESRD) Treatment · taxonomy 261QE0700X
- **Legal business name:** La Grange Dialysis Llc
- **Organization subpart:** No
- **Authorized official:** Thomas Usilton, SR VICE PRESIDENT
## Practice location
- **Address:** 720 W BROADWAY, Louisville, KY 40202-2216
- **Phone:** (502) 584-2059 · **Fax:** (502) 584-2835
## Record status
- **NPPES last updated:** August 1, 2007
- **Other identifiers:** Medicare OSCAR/certification 182581
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1710079876) · Data from the CMS NPPES public registry.