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KIDNEY WELLNESS CENTER LC
NPI 1932848785
Internal Medicine - Nephrology in Las Cruces, NM

Active since May 31, 2022CLIA 32D2277312 · Waiver
755 S TELSHOR BLVD STE 101, LAS CRUCES, NM 88011(575) 496-9501 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kidney Wellness Center Lc NPPES

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

KIDNEY WELLNESS CENTER LC (NPI 1932848785) is a healthcare organization registered as a nephrology in Las Cruces, New Mexico and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through February 23, 2027 and lists Osvaldo Rene De La Vega, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1932848785
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameKIDNEY WELLNESS CENTER LC
Location Address755 S TELSHOR BLVD STE 101Las Cruces, NM 88011-4688
Mailing Address6825 Bright View RdLas Cruces, NM 88007-8935 · (575) 496-9501
Phone(575) 496-9501
Organization SubpartNo
Authorized OfficialOsvaldo Rene De La VegaManaging Member · (575) 496-9501
Enumeration DateMay 31, 2022
NPPES CertifiedMay 23, 2022
✔ NPI 1932848785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
755 S TELSHOR BLVD STE 101, Las Cruces, NM 88011
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 32D2277312

Kidney Wellness Center Lc · Las Cruces, NM
Active · expires Feb 23, 2027
CLIA Number32D2277312
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2025
Certificate Expiration DateFebruary 23, 2027
Laboratory DirectorOsvaldo R. Delavega
Laboratory Phone(575) 556-9426
Laboratory LocationKidney Wellness Center Lc755 S Telshor Suite S101, Las Cruces, NM 88011
CLIA data matches this NPI record on: 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 Kidney Wellness Center Lc's NPI number?

The NPI number for Kidney Wellness Center Lc is 1932848785. It was assigned to this organization in the NPPES registry on May 31, 2022.

Where is Kidney Wellness Center Lc located?

Kidney Wellness Center Lc is located at 755 S Telshor Blvd Ste 101, Las Cruces, NM 88011. The listed phone number is (575) 496-9501.

What is Kidney Wellness Center Lc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Kidney Wellness Center Lc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2277312) is associated with this NPI, valid through February 23, 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 Kidney Wellness Center Lc was last updated on May 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.