Labette Dialysis LLC

Primary specialty

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

Legal business name

LABETTE DIALYSIS LLC

Doing business as

Lawrence County Dialysis

Practice address

367 County Road 406
Unit 11
South Point, OH 45680-8766

Phone

(740) 894-0830

Fax

(877) 288-1208

NPI assigned

Jan 24, 2017

Last updated

Jan 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samuel T. Wey, AO

Title

VP, Licensure & Certification

Phone

(253) 733-4501

Specialties & licenses 1

Addresses

Other names 1

• Lawrence County Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

DaVita Lawrence County DialysisCCN 362863

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Oct 3, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

9

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

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Dva Healthcare Renal Care Inc

  dba West Tampa Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tampa, FL
  • NPI 1881662120

  Member Of

  NPD member
• Isd Renal Inc

  dba Merchantville Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pennsauken, NJ
  • NPI 1194230441

  Member Of

  NPD member

Affiliated clinicians 2

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

• Robin Arora, M.D.

  • Nephrology Physician
  • Huntington, WV
  • NPI 1144481565

  Dialysis facility

  Care Compare affiliation Name & address match
• Michael A Collins, D.O.

  • Nephrology Physician
  • Huntington, WV
  • NPI 1770593063

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1235676677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-238-3051",
            "fax_number": "800-246-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 COUNTY ROAD 406",
            "address_2": "UNIT 11",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456808766",
            "telephone_number": "740-894-0830",
            "fax_number": "877-288-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABETTE DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "VP, LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "253-733-4501",
        "authorized_official_credential": "AO"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawrence County Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lawrence County Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George Kiser
• Allen Klaiber
• Taylor Klaiber
• Ashlee Dawn Kratzenberg
• Heather Kruel, BSW MHA
• Cara Renee Langdon, MA
• Robert Lawless, CDCA
• Legacy Riverview of South Point Operating Company, LLC (Legacy Riverview)
• Nicole R Legrand, CDCA
• Ericka Leighty

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in South Point, OH
• Providers in South Point, OH by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.