DIALYSIS CLINIC INC - SOUTHWEST MESA
NPI 1710406301
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Albuquerque, NM

Active since September 14, 2017CLIA 32D2145853 · Waiver
8121 CENTRAL AVE NW, ALBUQUERQUE, NM 87121(505) 836-1061(505) 836-8644 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2023, Jul 15, 2019, Sep 14, 2017 (3 updates tracked since 2017).

About Dialysis Clinic Inc - Southwest Mesa NPPES

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

DIALYSIS CLINIC INC - SOUTHWEST MESA (NPI 1710406301) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Albuquerque, New Mexico and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through March 15, 2028 and lists Donovan Schultz, President, as its authorized official.

NPPES Registry Identity

NPI1710406301
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDIALYSIS CLINIC INC
Location Address8121 CENTRAL AVE NWAlbuquerque, NM 87121-2125
Mailing Address1500 Indian School Rd NeAlbuquerque, NM 87102-1646 · (505) 724-1500 · Fax (505) 724-1526
Fax(505) 836-8644
Organization SubpartNo
Authorized OfficialDonovan SchultzPresident · (615) 327-3061
Enumeration DateSeptember 14, 2017
Last NPPES UpdateOctober 5, 20233 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
NPI 1710406301 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
8121 CENTRAL AVE NW, Albuquerque, NM 87121

Other Names 1

Doing Business AsDialysis Clinic Inc - Southwest Mesa

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 32D2145853

Dialysis Clinic Inc - West · Albuquerque, NM
Active · expires Mar 15, 2028
CLIA Number32D2145853
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMarch 16, 2026
Certificate Expiration DateMarch 15, 2028
Laboratory DirectorDr. Jonathan G. Owen
Laboratory Phone(505) 836-8644
Laboratory LocationDialysis Clinic Inc - West8121 Central Ave NW, Albuquerque, NM 87121
CLIA data matches this NPI record on: Address Name
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 1710406301. It was assigned to this organization in the NPPES registry on September 14, 2017. The provider is doing business as Dialysis Clinic Inc - Southwest Mesa.

Where is Dialysis Clinic Inc located?

Dialysis Clinic Inc is located at 8121 Central Ave NW, Albuquerque, NM 87121. The listed phone number is (505) 836-1061.

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 32D2145853) is associated with this NPI, valid through March 15, 2028. 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 Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma 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.