Premier Dialysis Service LLC

Primary specialty

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

Legal business name

PREMIER DIALYSIS SERVICE LLC

Doing business as

Premier Dialysis Services LLC

Practice address

1245 N Main St
Lapeer, MI 48446-1346

Phone

(888) 543-6390

NPI assigned

Aug 4, 2020

Organization subpart

No

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

Authorized official

Name

Joshua Daniel Dipzinski

Title

Owner

Phone

(888) 543-6390

Specialties & licenses 1

Addresses

Other names 1

• Premier Dialysis Services LLC Doing business as

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1780294702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 N MAIN ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461346",
            "telephone_number": "888-543-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 N MAIN ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461346",
            "telephone_number": "888-543-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DIALYSIS SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "DIPZINSKI",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-543-6390"
    },
    "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": "Premier Dialysis Services LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Dialysis Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shandia Sharae Porter, LLMSW, MSW, MHSA
• Mallory Lynnette Powell-Wilkins, D.C.
• Krissy A Power
• Angela Michelle Powers, MPT
• Premier Dialysis Service Lapeer LLC
• Kizzy Yvonne Price
• Melissa Ann Price, COTA/L
• Alexandra Ryan Priester
• Adriana Prill, BCABA
• Paul Primel Jr., SW

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lapeer, MI
• Providers in Lapeer, MI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.