Diablo Dialysis LLC

Primary specialty

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

Legal business name

DIABLO DIALYSIS LLC

Practice address

1923 Marsha Sharp Fwy
#102
Lubbock, TX 79415-4036

Phone

(806) 744-2790

Fax

(806) 747-2129

NPI assigned

Feb 4, 2013

Organization subpart

No

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

Authorized official

Name

James K Hilger

Title

Chief Accounting Officer

Phone

(253) 280-9501

Specialties & licenses 1

Addresses

Other names 1

• Lubbock Dialysis Doing business as

Locations

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1669711172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-320-4550",
            "fax_number": "866-500-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 MARSHA SHARP FWY",
            "address_2": "#102",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794154036",
            "telephone_number": "806-744-2790",
            "fax_number": "806-747-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABLO DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "HILGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-280-9501"
    },
    "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": "Lubbock Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Robertson Devine, MD
• Zhanna P Devyatkina, DMD
• Lamonte Lee Dewbre
• Alaa Diab, DDS
• Michel Gerges Diab, M.D.
• Diamond II Drug Inc.
• Diamond Lux Enterprises LLC
• Angela Kaye Diaz, LVN
• Marlie Raean Diaz, APRN
• Victoria Diaz, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lubbock, TX
• Providers in Lubbock, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.