Organization Active NPI

Arc Dialysis Fort Lauderdale LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1326750290
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
ARC DIALYSIS FORT LAUDERDALE LLC
Practice address
3045 N Federal Hwy
Fort Lauderdale, FL 33306-1431
Phone
(786) 457-9480
NPI assigned
Dec 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Authorized official

Name
Federico Alberto Dumenigo
Title
Ceo
Phone
(305) 448-6261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

3045 N Federal Hwy
Fort Lauderdale, FL 33306-1431

Mailing address

4960 SW 72ND Ave Ste 208
Miami, FL 33155-5549
Phone (305) 448-6261

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2335040Arc Dialysis Fort Lauderdale LLC3045 N Federal Hwy Unit 14, Fort Lauderdale, FL 33306Certificate of waiverDec 4, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1326750290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 SW 72ND AVE STE 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555549",
            "telephone_number": "305-448-6261",
            "fax_number": "305-448-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 N FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061431",
            "telephone_number": "786-457-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARC DIALYSIS FORT LAUDERDALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "DUMENIGO",
        "authorized_official_first_name": "FEDERICO",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-448-6261"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.