Lake Charles Dialysis Center LLC

Primary specialty

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

License

101 Issued in LA

Legal business name

LAKE CHARLES DIALYSIS CENTER LLC

Practice address

1801 Oak Park Blvd
Lake Charles, LA 70601

Phone

(337) 478-9585

Fax

(337) 479-0338

NPI assigned

Aug 11, 2005

Organization subpart

No

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

Authorized official

Name

Tony W Leung, MDNPI 1881693463

Title

Medical Director

Phone

(337) 478-9585

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tony Wong Leung, MD

  • Nephrology Physician
  • Lake Charles, LA
  • NPI 1881693463
  NPD (past) Authorized official
• Shung Man Kurt Lee, MD

  • Nephrology Physician
  • Beaumont, TX
  • NPI 1386610103
  NPD (past)

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306848205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4789",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706064789",
            "telephone_number": "337-478-9585",
            "fax_number": "337-479-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 OAK PARK BLVD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70601",
            "telephone_number": "337-478-9585",
            "fax_number": "337-479-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CHARLES DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEUNG",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "337-478-9585",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "LA",
            "license": "101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1654205",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lake Area TMS
• Lake Charles Addiction and Wellness Center (Addiction and Wellness)
• Lake Charles Ambulatory Surgery Center, LP (Cardiovascular Outpatient Surgery Center of Southwest Louisiana)
• Lake Charles Anesthesiology, Apmc
• Lake Charles Clinical Trials, LLC
• Lake Charles Healthcare LLC (Landmark of Lake Charles)
• Lake Charles Hearing AIDS LLC (McMillin Hearing Aid Service)
• Lake Charles Intraoperative Neuromonitoring, LLC
• Lake Charles Medical & Surgical Clinic
• Lake Charles Medical Services (Neurosurgical Institute of Lake Charles)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.