DIALYSIS ACCESS CENTER LLC NPI 1801457478

NPI Information

  • NPI: 1801457478
  • Provider Name: DIALYSIS ACCESS CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 36D2171854
  • Address: 8390 TOD AVE STE 2
    BOARDMAN, OH
    ZIP 44512
  • Phone: (330) 629-2855

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NPI Details

DIALYSIS ACCESS CENTER, LLC is an ambulatory surgical clinic center in Boardman, OH. DIALYSIS ACCESS CENTER, LLC NPI is 1801457478. The provider is registered as an organization entity type.

The provider's business location address is:

8390 TOD AVE STE 2
BOARDMAN, OH
ZIP 44512-366
Phone: (330) 629-2855
Fax: (330) 629-2855

The provider's authorized official is Nathaniel S Doe .
The authorized official title is President and has the following contact phone number (330) 746-1488.

The CLIA number assigned to this NPI record is 36D2171854 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
  • Replacement of tunneled central venous tube (HCPCS:36581)
  • Insertion of needle and/or tube into hemodialysis circuit with review by radiologist (HCPCS:36901)
  • Complete ultrasound of artery and vein blood flow pre-op assessment on side of body for hemodialysis access (HCPCS:93986)
  • Removal of tunneled central venous tube (HCPCS:36589)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube (HCPCS:36905)

The enumeration date for this NPI number is 6/25/2019 and was last updated on 6/13/2024.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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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