WEST ORANGE PALM COAST DIALYSIS CENTER LLC
NPI 1972074086
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Palm Coast, FL
About West Orange Palm Coast Dialysis Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WEST ORANGE PALM COAST DIALYSIS CENTER LLC (NPI 1972074086) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Palm Coast, Florida and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through October 15, 2027 and lists Akin Awosika, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 10D2103612
West Orange Maitland Dialysis Center LLC · Orlando, FLFrequently 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 West Orange Palm Coast Dialysis Center LLC's NPI number?
The NPI number for West Orange Palm Coast Dialysis Center LLC is 1972074086. It was assigned to this organization in the NPPES registry on December 16, 2018.
Where is West Orange Palm Coast Dialysis Center LLC located?
West Orange Palm Coast Dialysis Center LLC is located at 57 Town Ct Ste 118, Palm Coast, FL 32164. The listed phone number is (407) 297-8408.
What is West Orange Palm Coast 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.
Does West Orange Palm Coast Dialysis Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2103612) is associated with this NPI, valid through October 15, 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 West Orange Palm Coast Dialysis Center LLC was last updated on December 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# West Orange Palm Coast Dialysis Center Llc · NPI 1972074086
End-Stage Renal Disease (ESRD) Treatment organization in Palm Coast, Florida. Organization record, active in the CMS NPPES registry since December 16, 2018.
## Identity
- **NPI:** 1972074086 (Entity type: Organization)
- **Enumerated:** December 16, 2018
- **Primary specialty:** Clinic/Center - End-Stage Renal Disease (ESRD) Treatment · taxonomy 261QE0700X
- **Organization subpart:** No
- **Authorized official:** Akin Awosika, CFO
## Practice location
- **Address:** 57 TOWN CT STE 118, Palm Coast, FL 32164-2425
- **Phone:** (407) 297-8408
## Record status
- **NPPES last updated:** December 16, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1972074086) · Data from the CMS NPPES public registry.