RENAL TREATMENT CTRS SOUTHEAST LP
NPI 1811315815
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Tacoma, WA

Active since April 07, 2014CLIA 04D0663443 · Waiver
1423 PACIFIC AVE, TACOMA, WA 98402(253) 382-1752 Get Directions Write a Review

NPPES record last updated: April 7, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Renal Treatment Ctrs Southeast Lp NPPES

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

RENAL TREATMENT CTRS SOUTHEAST LP (NPI 1811315815) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Tacoma, Washington and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through July 25, 2027 and lists Kent Thiry, Ceo, as its authorized official.

NPPES Registry Identity

NPI1811315815
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameRIVER VALLEY DIALYSIS
Location Address1423 PACIFIC AVETacoma, WA 98402-4203
Mailing Address3121 W 2nd CtRussellville, AR 72801-4504 · (479) 968-4687 · Fax (479) 968-2260
Organization SubpartNo
Authorized OfficialKent ThiryCeo · (303) 876-6000
Enumeration DateApril 7, 2014
NPI 1811315815 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
Licenses Licensed in AR · 04D0663443 Licensed in AR · 1285978627
1423 PACIFIC AVE, Tacoma, WA 98402

Other Names 1

Other NameRenal Treatment Ctrs Southeast Lp

Other Identifiers 1

Medicaid200361034AR

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 04D0663443

River Valley Dialysis · Russellville, AR
Active · expires Jul 25, 2027
CLIA Number04D0663443
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJuly 26, 2025
Certificate Expiration DateJuly 25, 2027
Laboratory DirectorDr. Drew Heiple
Laboratory Phone(479) 968-4687
Laboratory LocationRiver Valley Dialysis3121 W 2nd Ct, Russellville, AR 72801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402

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 River Valley Dialysis's NPI number?

The NPI number for River Valley Dialysis is 1811315815. It was assigned to this organization in the NPPES registry on April 7, 2014. The provider is also known as Renal Treatment Ctrs Southeast LP.

Where is River Valley Dialysis located?

River Valley Dialysis is located at 1423 Pacific Ave, Tacoma, WA 98402. The listed phone number is (253) 382-1752.

What is River Valley Dialysis'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 River Valley Dialysis hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D0663443) is associated with this NPI, valid through July 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for River Valley Dialysis was last updated on April 7, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.