Active NPI
Lakes Dialysis Center,Inc
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Miami Lakes, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- LAKES DIALYSIS CENTER,INC
- Practice address
- 14645 NW 77TH Ave Ste 102
Miami Lakes, FL 33014-2569 - Phone
- (305) 817-8508
- Fax
- (305) 817-8565
- NPI assigned
- Jul 21, 2010
- Last updated
- Dec 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Suzette Siblesz
- Title
- President
- Phone
- (305) 817-8508
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
14645 NW 77TH Ave Ste 102
Miami Lakes, FL 33014-2569
Mailing address
14645 NW 77TH Ave Ste 102
Miami Lakes, FL 33014-2569
Phone (305) 817-8508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101130001247 | FL | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 8123214335 | Practice locations: Miami Lakes, FL |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Lakes Dialysis Center
- Overall star rating
- Ownership
- Profit
- Certified
- Jul 27, 2011
- Medicare certification status
- Active
- Dialysis stations
- 21
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2016049 | Lakes Dialysis Center Inc | Certificate of waiver | Nov 9, 2026 |
National Provider Directory
National Provider DirectoryLocations
14645 NW 77th Ave
Ste 102
Miami Lakes, FL 33014
Phone (305) 817-8508
7980 NW 155th St
Fl 2
Miami Lakes, FL 33016
Phone (305) 817-8508
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Pembroke Pines, FL
- NPI 1780649376
Affiliated clinicians 12
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702339200000",
"number": "1689987539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14645 NW 77TH AVE STE 102",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142569",
"telephone_number": "305-817-8508",
"fax_number": "305-817-8565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14645 NW 77TH AVE STE 102",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142569",
"telephone_number": "305-817-8508",
"fax_number": "305-817-8565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKES DIALYSIS CENTER,INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-21",
"last_updated": "2023-12-12",
"certification_date": "2023-12-12",
"status": "A",
"authorized_official_last_name": "SIBLESZ",
"authorized_official_first_name": "SUZETTE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-817-8508",
"authorized_official_name_prefix": "Ms."
},
"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 Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.