WEST LAKEWOOD DIALYSIS – NPI #1134547383
Clinic/Center

WEST LAKEWOOD DIALYSIS is an AHC clinic located in LAKEWOOD, CO. NPPES has assigned the NPI number 1134547383 to WEST LAKEWOOD DIALYSIS on April 04, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WEST LAKEWOOD DIALYSIS” is a dba name, the actual legal business name for this organization is PIBLE DIALYSIS LLC. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was last updated on Jul 11, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WEST LAKEWOOD DIALYSIS below.

NPI Profile for
PIBLE DIALYSIS LLC

NPI Number
1134547383
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PIBLE DIALYSIS LLC
Doing Business As (dba): WEST LAKEWOOD DIALYSIS
Primary location
11700 W 2ND PL
STE 325
LAKEWOOD, CO 80228
Phone: (303) 987-4672 Fax: (303) 987-4687
Mailing address
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD, TN 37027-7569
Phone: Fax:
Organization Subpart
No
Authorized Official
SAMUEL WEY
VP LICENSURE & CERTIFICATION
Phone: (615) 341-6641
Updated
Certification Date
Jul 11, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for WEST LAKEWOOD DIALYSIS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCO1134547383
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)
CO 12V397

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.