Organization Active NPI

Mobile Dialysis Solutions LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Odessa, FL
National Provider Identifier
1912860941
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
MOBILE DIALYSIS SOLUTIONS LLC
Practice address
12804 Eagles Entry Dr
Odessa, FL 33556-2837
Phone
(813) 786-0133
NPI assigned
Dec 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Olaolu Odewole
Title
President
Phone
(813) 786-0133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

12804 Eagles Entry Dr
Odessa, FL 33556-2837

Mailing address

14910 N Dale Mabry Hwy Unit 340526
Tampa, FL 33618-1814
Phone (813) 786-0133

National Provider Directory

National Provider Directory

Locations

14910 N Dale Mabry Hwy
Unit 340526
Tampa, FL 33618

NPI Registry JSON

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1912860941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14910 N DALE MABRY HWY UNIT 340526",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181814",
            "telephone_number": "813-786-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12804 EAGLES ENTRY DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335562837",
            "telephone_number": "813-786-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DIALYSIS SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-05",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "ODEWOLE",
        "authorized_official_first_name": "OLAOLU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-786-0133"
    },
    "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 Odessa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.