Active NPI
Ara-South Laburnum Dialysis LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Richmond, VA
National Provider Identifier
1093856643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- ARA-SOUTH LABURNUM DIALYSIS LLC
- Practice address
- 4817 S Laburnum Ave
Richmond, VA 23231-2713 - Phone
- (804) 222-7718
- Fax
- (804) 222-7719
- NPI assigned
- Feb 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sara Brady
- Title
- Chief Nursing Officer
- Phone
- (208) 371-7878
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
4817 S Laburnum Ave
Richmond, VA 23231-2713
Mailing address
4817 S Laburnum Ave
Richmond, VA 23231-2713
Phone (804) 222-7718
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093856643 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070216000656 | VA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 0840392106 | Practice locations: Richmond, VA |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- South Laburnum Dialysis LLC
- Overall star rating
- Ownership
- Profit
- Certified
- Aug 15, 2007
- Medicare certification status
- Active
- Chain
- American Renal Associates
- Dialysis stations
- 20
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D1068299 | Ara South Laburnum Avenue Dialysis Center, LLC | Certificate of waiver | May 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
4817 S Laburnum Ave
Richmond, VA 23231
Phone (804) 222-7718
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779062400000",
"number": "1093856643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4817 S LABURNUM AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232312713",
"telephone_number": "804-222-7718",
"fax_number": "804-222-7719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4817 S LABURNUM AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232312713",
"telephone_number": "804-222-7718",
"fax_number": "804-222-7719"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARA-SOUTH LABURNUM DIALYSIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A",
"authorized_official_last_name": "BRADY",
"authorized_official_first_name": "SARA",
"authorized_official_title_or_position": "CHIEF NURSING OFFICER",
"authorized_official_telephone_number": "208-371-7878"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093856643",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.