Dialysis Access Care of Southeast Michigan, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DIALYSIS ACCESS CARE OF SOUTHEAST MICHIGAN, LLC

Practice address

2890 Washtenaw Rd
Ypsilanti, MI 48197-1507

Phone

(734) 528-9433

Fax

(734) 582-9455

NPI assigned

Jun 16, 2026

Last updated

Jun 16, 2026By 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

Tabetha Thompson

Title

Practice Administrator

Phone

(734) 715-1706

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1609701275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DR RM 4003",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971099",
            "telephone_number": "734-715-1706",
            "fax_number": "734-863-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 WASHTENAW RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971507",
            "telephone_number": "734-528-9433",
            "fax_number": "734-582-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS ACCESS CARE OF SOUTHEAST MICHIGAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TABETHA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "734-715-1706"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Dewall, DO
• Nimo Dhagane
• Inderdeep Dhaliwal
• Reba Dhillon, DO
• Sophie Jones Di Rita
• Diamac Care Services
• Dianes Sweet Home,Inc
• Ruth Bautista Diaz, M.D.
• Elie Dib, MD
• Kimberly Beth Diebboll, M.A., LLP

• Ambulatory Surgical Clinic/Center in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Ambulatory Surgical Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.