Lancaster Dialysis LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

LANCASTER DIALYSIS LLC

Doing business as

Liberty Dialysis - Lancaster
Premier Dialysis - Lancaster

Practice address

3250 W Pleasant Run Rd
Ste 280
Lancaster, TX 75146-1067

Phone

(972) 230-7778

NPI assigned

Jun 11, 2006

Last updated

Jul 24, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

U.S. RENAL CARE, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas L. Weinberg

Title

Chairman and President

Phone

(214) 736-2730

Specialties & licenses 1

Addresses

Other names 2

• Liberty Dialysis - Lancaster Doing business as
• Premier Dialysis - Lancaster Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Usrc Premier LancasterCCN 672526

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Oct 24, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

17

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

US Renal Care Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• U.S. Renal Care, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Plano, TX
  • NPI 1588581870
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Irfan A Agha, M.D.

  • Nephrology Physician
  • Dallas, TX
  • NPI 1912982489
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Abdul-Rehman Syed, DO

  • Nephrology Physician
  • Dallas, TX
  • NPI 1629631247

  Dialysis facility

  Care Compare affiliation Name & address match
• Srividya Venkataraman, MD

  • Nephrology Physician
  • Desoto, TX
  • NPI 1871684928

  Dialysis facility

  Care Compare affiliation Name & address match

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1013959683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844631",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844631",
            "telephone_number": "214-736-2700",
            "fax_number": "214-736-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 W PLEASANT RUN RD",
            "address_2": "STE 280",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751461067",
            "telephone_number": "972-230-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER DIALYSIS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2006-06-11",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHAIRMAN AND PRESIDENT",
        "authorized_official_telephone_number": "214-736-2730"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Dialysis - Lancaster",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Dialysis - Lancaster",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Tatang Kuja, NP
• Labeauve Services & Opportunities LLC
• Lakeisha Y Labove, CRC
• Marcus Shane Labove
• Lancaster Dental LLC (Lancaster Dental & Orthodontics)
• Lancaster Emergency Physicians, LLC
• Lancaster I Enterprises, L.L.C. (Lancaster Nursing & Rehabilitation)
• Lancaster Isd
• Lancaster LTC Partners, Inc.
• Lancaster Physicians

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lancaster, TX
• Providers in Lancaster, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.