LDFS LLC

Primary specialty

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

Legal business name

LDFS LLC

Practice address

2268 N Walgreens St
Flagstaff, AZ 86004-6101

Phone

(928) 556-5500

Fax

(928) 556-5501

NPI assigned

Apr 1, 2011

Organization subpart

Yes

Parent organization

U.S. RENAL CARE, INC.As reported in NPPES

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

Authorized official

Name

Thomas L. Weinberg

Title

Authorized Official

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• U.S. Renal Care Flagstaff Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Listed as

Usrc FlagstaffCCN 032636

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Feb 29, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

17

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

CLIA laboratory certificates

Part of

US Renal Care Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Dialysis Newco LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Viera, FL
  • NPI 1982970554

  Member Of

  NPD member

Locations

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Matthew Ian Gembala, M.D., M.P.H.

  • Nephrology Physician
  • Flagstaff, AZ
  • NPI 1114950185

  Dialysis facility

  Care Compare affiliation Name & address match
• Wei Xiang Wong

  • Nephrology Physician
  • Flagstaff, AZ
  • NPI 1639551526

  Dialysis facility

  Care Compare affiliation Name & address match
• Wina Poriescha Yousman, M.D.

  • Internal Medicine Physician
  • Flagstaff, AZ
  • NPI 1275981458

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1790074516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 CHURCH ST",
            "address_2": "SUITE 1900",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192301",
            "telephone_number": "615-777-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2268 N WALGREENS ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860046101",
            "telephone_number": "928-556-5500",
            "fax_number": "928-556-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDFS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2011-04-01",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "815589",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Flagstaff Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jayece R. Laudner, PT
• Debra Laughlin
• Babatunde Lawal, DO
• Lawrence a Winse DDS PC
• Mikayla Lawrence, PT, DPT
• Don Q Le, PHARMD
• Linh Le, PHARM.D.
• Shmuel Lebowitz, RBT
• David M Leder, MD
• Debra Malecki Ledington, RN

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.

Verify at the official NPI Registry.