ISD RENAL INC NPI 1679529267

NPI Information

  • NPI: 1679529267
  • Provider Name: ISD RENAL INC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: RENAL CARE OF CENTRAL MEMPHIS
  • CLIA Number: 44D0995571
  • Address: 1331 UNION AVE
    STE 101
    MEMPHIS, TN
    ZIP 38104
  • Phone: (901) 278-5400

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NPI Details

ISD RENAL INC is an end-stage renal disease (esrd) treatment clinic center in Memphis, TN. ISD RENAL INC NPI is 1679529267. The provider is registered as an organization entity type.
The provider Is Doing Business As Renal Care Of Central Memphis.

The provider's business location address is:

1331 UNION AVE
STE 101
MEMPHIS, TN
ZIP 38104-559
Phone: (901) 278-5400
Fax: (901) 278-5200

The provider's authorized official is John Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 44D0995571 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 2/18/2021.

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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment121TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10442637MEDICAIDTENNESSEE

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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