1. Home
  2. Directory
  3. Wisconsin
  4. Oconomowoc
  5. Clinic Center
  6. NPI Profile

OCONOMOWOC DIALYSIS CENTER
NPI 1871679480
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Oconomowoc, WI

Active since October 27, 2006CLIA 52D0868858 · Waiver
1253 CORPORATE CENTER DR, OCONOMOWOC, WI 53066(262) 567-3199(262) 567-3821 Get Directions Write a Review

NPPES record last updated: May 13, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Oconomowoc Dialysis Center NPPES

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

OCONOMOWOC DIALYSIS CENTER (NPI 1871679480) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Oconomowoc, Wisconsin and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Tina M Waldron, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1871679480
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NamePURITY DIALYSIS CENTERS, INC
Location Address1253 CORPORATE CENTER DROconomowoc, WI 53066-4836
Mailing Address2301 Sun Valley Dr Ste 200Delafield, WI 53018-2318 · (262) 646-4162 · Fax (262) 646-2498
Phone(262) 567-3199
Fax(262) 567-3821
Organization SubpartNo
Authorized OfficialTina M WaldronBilling Supervisor · (262) 646-6426
Enumeration DateOctober 27, 2006
Last NPPES UpdateMay 13, 2010
✔ NPI 1871679480 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
1253 CORPORATE CENTER DR, Oconomowoc, WI 53066
Open in Google Maps ↗

Other Names 1

Doing Business AsOconomowoc Dialysis Center

Other Identifiers 3

Other52D0868858WI · Odc Clia #
Medicaid42052100WI
Medicare PIN522517WI

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 52D0868858

Oconomowoc Dialysis · Oconomowoc, WI
Active · expires Aug 31, 2026
CLIA Number52D0868858
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorYounus Al-Midfai
Laboratory Phone(262) 567-3199
Laboratory LocationOconomowoc Dialysis1253 Corporate Center Dr, Oconomowoc, WI 53066
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 2

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

BUBON & ASSOCIATES, ORTHODONTICS, SC
Dentist (Orthodontics and Dentofacial Orthopedics)
1253 CORPORATE CENTER DR
OCONOMOWOC, WI 53066
Waukesha County (262) 522-7447
TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1253 CORPORATE CENTER DR
OCONOMOWOC, WI 53066
Waukesha County (262) 560-0371

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 Purity Dialysis Centers, Inc's NPI number?

The NPI number for Purity Dialysis Centers, Inc is 1871679480. It was assigned to this organization in the NPPES registry on October 27, 2006. The provider is doing business as Oconomowoc Dialysis Center.

Where is Purity Dialysis Centers, Inc located?

Purity Dialysis Centers, Inc is located at 1253 Corporate Center Dr, Oconomowoc, WI 53066. The listed phone number is (262) 567-3199.

What is Purity Dialysis Centers, 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 Purity Dialysis Centers, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0868858) is associated with this NPI, valid through August 31, 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 Purity Dialysis Centers, Inc was last updated on May 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.