Organization Active NPI

South Arlington Dialysis Center LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Arlington, TX
National Provider Identifier
1942551643
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
SOUTH ARLINGTON DIALYSIS CENTER LLC
Practice address
3415 S Cooper St
Suite 118
Arlington, TX 76015-3434
Phone
(817) 465-8585
Fax
(817) 467-3520
NPI assigned
Sep 21, 2012
Last updated
Jul 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Sara Anne Brady
Title
Chief Nursing Officer
Phone
(208) 371-7878

Specialties & licenses 1

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

Addresses

Primary practice location

3415 S Cooper St
Suite 118
Arlington, TX 76015-3434

Mailing address

3415 S Cooper St
Suite 118
Arlington, TX 76015-3434
Phone (817) 465-8585

Other identifiers 1

IdentifierTypeStateIssuer
315776001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130104000408 TX Part A Provider - End-Stage Renal Disease Facility (ESRD) 6901059674 Practice locations: Arlington, TX

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
South Arlington Dialysis CenterCCN 452592
Overall star rating
3.0 of 5
Ownership
Profit
Certified
Dec 3, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Chain
American Renal Associates
Dialysis stations
36

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 NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0857887South Arlington Dialysis Center, LLC3415 S Cooper Street Suite 118, Arlington, TX 76015Certificate of waiverOct 24, 2026

National Provider Directory

National Provider Directory

Locations

3415 S Cooper St
Ste 118
Arlington, TX 76015
Phone (817) 465-8585

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.

Affiliated clinicians 5

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": "1348185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1942551643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 S COOPER ST",
            "address_2": "SUITE 118",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153434",
            "telephone_number": "817-465-8585",
            "fax_number": "817-467-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 S COOPER ST",
            "address_2": "SUITE 118",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153434",
            "telephone_number": "817-465-8585",
            "fax_number": "817-467-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ARLINGTON DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-21",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CHIEF NURSING OFFICER",
        "authorized_official_telephone_number": "208-371-7878"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315776001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.