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LAWTON DIALYSIS CENTER LLC
NPI 1922518448
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Lawton, OK

Active since October 11, 2017
5110 W GORE BLVD, LAWTON, OK 73505(580) 248-3733(580) 248-3993 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 12, 2023, Aug 19, 2022, Mar 17, 2020 and 2 more (5 updates tracked since 2017).

About Lawton Dialysis Center Llc NPPES

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

LAWTON DIALYSIS CENTER LLC (NPI 1922518448) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Lawton, Oklahoma and active in the NPI registry since October 2017. The organization lists Bali Reddy Sodam, Owner, as its authorized official.

NPPES Registry Identity

NPI1922518448
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameLAWTON DIALYSIS CENTER LLC
Location Address5110 W GORE BLVDLawton, OK 73505-5909
Mailing Address5110 W Gore BlvdLawton, OK 73505-5909 · (580) 248-3733 · Fax (580) 248-3993
Phone(580) 248-3733
Fax(580) 248-3993
Organization SubpartNo
Authorized OfficialBali Reddy SodamOwner · (580) 536-5273
Enumeration DateOctober 11, 2017
Last NPPES UpdateJanuary 12, 20235 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2023
✔ NPI 1922518448 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
5110 W GORE BLVD, Lawton, OK 73505
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Other Identifiers 1

Medicaid200752990AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

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.

MS. BANDY JO RACKLEY RD, LD
Dietitian, Registered (Nutrition, Renal)
5110 W GORE BLVD
LAWTON, OK 73505
Comanche County (580) 713-3123
LAWTON DIALYSIS, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
5110 W GORE BLVD, SUITE 1
LAWTON, OK 73505
Comanche County (580) 248-3733

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 Lawton Dialysis Center LLC's NPI number?

The NPI number for Lawton Dialysis Center LLC is 1922518448. It was assigned to this organization in the NPPES registry on October 11, 2017.

Where is Lawton Dialysis Center LLC located?

Lawton Dialysis Center LLC is located at 5110 W Gore Blvd, Lawton, OK 73505. The listed phone number is (580) 248-3733.

What is Lawton Dialysis Center 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.

What insurance does Lawton Dialysis Center LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Lawton Dialysis Center 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 Lawton Dialysis Center LLC was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.