GARFIELD DIALYSIS VENTURE LLC NPI 1043491194

NPI Information

  • NPI: 1043491194
  • Provider Name: GARFIELD DIALYSIS VENTURE LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: HUMBOLDT RIDGE DIALYSIS CENTER
  • CLIA Number: 52D2013611
  • Address: 2211 N HUMBOLDT BLVD
    MILWAUKEE, WI
    ZIP 53212
  • Phone: (414) 336-7200

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NPI Details

GARFIELD DIALYSIS VENTURE LLC is a clinic center in Milwaukee, WI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). GARFIELD DIALYSIS VENTURE LLC NPI is 1043491194. The provider is registered as an organization entity type.
The provider Is Doing Business As Humboldt Ridge Dialysis Center.

The provider's business location address is:

2211 N HUMBOLDT BLVD
MILWAUKEE, WI
ZIP 53212-507
Phone: (414) 336-7200
Fax: (414) 777-5210

The provider's authorized official is Barry Lee Luckenbill .
The authorized official title is Managing Member and has the following contact phone number (414) 777-5200.

The CLIA number assigned to this NPI record is 52D2013611 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2007 and was last updated on 12/27/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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