LAKE CHARLES DIALYSIS CENTER LLC – NPI #1306848205
Clinic/Center

LAKE CHARLES DIALYSIS CENTER LLC is an AHC clinic located in LAKE CHARLES, LA. NPPES has assigned the NPI number 1306848205 to LAKE CHARLES DIALYSIS CENTER LLC on August 11, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 previously updated about 6 years ago on Aug 22, 2020. 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 LAKE CHARLES DIALYSIS CENTER LLC below.

NPI Profile for
LAKE CHARLES DIALYSIS CENTER LLC

NPI Number
1306848205
Enumeration Date

(about 21 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
LAKE CHARLES DIALYSIS CENTER LLC
Primary location
1801 OAK PARK BLVD
LAKE CHARLES, LA 70601
Phone: (337) 478-9585 Fax: (337) 479-0338
Mailing address
PO BOX 4789
LAKE CHARLES, LA 70606-4789
Phone: (337) 478-9585 Fax: (337) 479-0338
Organization Subpart
No
Authorized Official
TONY LEUNG
MEDICAL DIRECTOR
Phone: (337) 478-9585
Updated
Identifiers

Identifiers for LAKE CHARLES DIALYSIS CENTER LLC

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
MEDICAIDLA1654205
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)
LA 101

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.