FRESENIUS MEDICAL CARE MARYVALE
NPI 1922110733
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Phoenix, AZ

Active since August 31, 2006CLIA 03D0911997 · Waiver
4502 W INDIAN SCHOOL RD STE A4, PHOENIX, AZ 85031(623) 247-0695(623) 247-2040 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fresenius Medical Care Maryvale NPPES

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

FRESENIUS MEDICAL CARE MARYVALE (NPI 1922110733) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Phoenix, Arizona and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through February 20, 2028 and lists Barry L. Blanton, Vice President, as its authorized official.

NPPES Registry Identity

NPI1922110733
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameRENAL CARE GROUP ARIZONA, LLC
Location Address4502 W INDIAN SCHOOL RD STE A4Phoenix, AZ 85031-2800
Mailing Address4502 W Indian School Rd Ste A4Phoenix, AZ 85031-2800 · (623) 247-0695 · Fax (623) 247-2040
Fax(623) 247-2040
Organization SubpartYesParent: Fresenius Medical Care Holdings, Inc.
Authorized OfficialBarry L. BlantonVice President · (781) 699-9000
Enumeration DateAugust 31, 2006
Last NPPES UpdateOctober 17, 2023
NPPES CertifiedOctober 17, 2023
NPI 1922110733 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
4502 W INDIAN SCHOOL RD STE A4, Phoenix, AZ 85031

Other Names 1

Doing Business AsFresenius Medical Care Maryvale

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 03D0911997

Renal Care Group -Maryvale · Phoenix, AZ
Active · expires Feb 20, 2028
CLIA Number03D0911997
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateFebruary 21, 2026
Certificate Expiration DateFebruary 20, 2028
Laboratory DirectorJeffery Laiserin, MD
Laboratory Phone(623) 247-0695
Laboratory LocationRenal Care Group -Maryvale4502 W Indian School Road A4, Phoenix, AZ 85031
CLIA data matches this NPI record on: Phone
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 Renal Care Group Arizona, LLC's NPI number?

The NPI number for Renal Care Group Arizona, LLC is 1922110733. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Fresenius Medical Care Maryvale.

Where is Renal Care Group Arizona, LLC located?

Renal Care Group Arizona, LLC is located at 4502 W Indian School Rd Ste A4, Phoenix, AZ 85031. The listed phone number is (623) 247-0695.

What is Renal Care Group Arizona, 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 Renal Care Group Arizona, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0911997) is associated with this NPI, valid through February 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Renal Care Group Arizona, LLC accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 4 other insurers list Renal Care Group Arizona, LLC 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 Renal Care Group Arizona, LLC was last updated on October 17, 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.