INNOVATIVE DIALYSIS CENTER OF LUBBOCK, LLC (NPI# 1013306133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013306133 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE DIALYSIS CENTER OF LUBBOCK, LLC |
| Other Organization Name | U.S. RENAL CARE NORTH LUBBOCK DIALYSIS |
| Practice Address |
1826 Parkway Dr Lubbock TX 79403-4406 |
| Mailing Address |
Po Box 844631 Dallas TX 75284-4631 |
| Practice Telephone | 8067471366 |
| Practice Fax Number | 8067442026 |
| Mailing Telephone | 8709315400 |
| Mailing Fax Number | 8709315418 |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |
| Authorized Official Name | THOMAS L. WEINBERG (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Telephone | 2147362700 |
| Is Organization Subpart | Y |
| Parent Organization Name | U.S. RENAL CARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| U.S. Renal Care North Lubbock Dialysis | Doing Business As Name - Organization |
| Street Address |
1826 PARKWAY DR |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79403-4406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831118306 | Community Health Center of Lubbock, Inc | Clinic/Center | 1826 Parkway Dr, Suite 500, Lubbock, TX 79403 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205484987 | Keisha Jones | Nurse Practitioner | 1406 Quinlan St, Lubbock, TX 79403 | 2019-08-27 |
| 1710254701 | Todd Patrick Faison | Specialist/Technologist | 1504 E. Itasca Ave., Lubbock, TX 79403 | 2011-11-19 |
| 1336341254 | Jerry Wade Lee | Pharmacist | 1950 Aspen, Lubbock, TX 79403 | 2007-06-04 |
| 1982726832 | The Adult Day Activity Center of Lubbock, Inc. | Clinic/Center | 2807 42nd Street, Lubbock, TX 79403 | 2007-04-04 |
| 1891768321 | Community Health Center of Lubbock, Inc | Clinic/Center | 406 Mlk Blvd, Lubbock, TX 79403 | 2006-02-07 |
| 1649425851 | Sue C Craig | Physical Therapy Assistant | 208 Country Club Dr, Lubbock, TX 79403-1010 | 2008-12-02 |
| 1447310834 | Arthur Richard Howard Jr. | Dentist | 1109 Kemper St, Lubbock, TX 79403-2523 | 2006-12-08 |
| 1316150626 | Deborah Isaacks | Registered Nurse | 1109 Kemper St, Lubbock, TX 79403-2523 | 2007-05-07 |
| 1588118376 | Joseph Jordan | Contractor | 2001 Kent St, Lubbock, TX 79403-2922 | 2016-08-09 |
| 1902936545 | Robert Alan Ramos I | Specialist/Technologist | 1504 E Itasca St, Lubbock, TX 79403-3120 | 2007-03-06 |
| Find all providers in zip 79403 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801420864 | The Kidney Care Center, LLC | Clinic/Center | 3702 Interstate 27, Lubbock, TX 79412 | 2020-02-28 |
| 1235685470 | Bio-medical Applications of Texas, Inc. | Clinic/Center | 8704 University Ave, Lubbock, TX 79423-3174 | 2016-08-28 |
| 1033559497 | Fresenius Medical Care Lubbock, LLC | Clinic/Center | 2710 Avenue Q, Lubbock, TX 79411-2446 | 2013-07-01 |
| 1649372814 | Bio Medical Applications of Texas, Inc. | Clinic/Center | C/o Lubbock Area Office, 6630 Quaker Avenue, Suite 208, Lubbock, TX 79413 | 2006-09-01 |
| 1679685564 | Bio-medical Applications of Texas Inc | Clinic/Center | 1126 Slide Rd Unit 4a, Lubbock, TX 79416-5402 | 2006-08-31 |
| 1497867378 | Bio-medical Applications of Texas, Inc. | Clinic/Center | 6630 Quaker Ave Ste 102, Lubbock, TX 79413-5939 | 2006-08-31 |
| 1598310179 | Angelo Kidney Connection Home Therapies Pllc | Clinic/Center | 3626 50th St, Lubbock, TX 79413-3994 | 2019-08-09 |
| 1669711172 | Diablo Dialysis LLC | Clinic/Center | 1923 Marsha Sharp Fwy, #102, Lubbock, TX 79415-4036 | 2013-02-04 |
| 1518233212 | The Kidney Care Center, LLC | Clinic/Center | 1126 Slide Rd, Suite 4b, Lubbock, TX 79416-5402 | 2012-03-27 |
| 1922293703 | Rsa - South Plains, LLP | Clinic/Center | 3801 21st St, Lubbock, TX 79410-1006 | 2007-09-13 |
| Find all providers in LUBBOCK | ||||
Please comment or provide details below to improve the information on INNOVATIVE DIALYSIS CENTER OF LUBBOCK, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.