Organization Active NPI

Adc Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tampa, FL
National Provider Identifier
1972291375
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
ADC DIALYSIS LLC
Practice address
5406 Hoover Blvd Ste 15
Tampa, FL 33634-5330
Phone
(813) 605-9395
NPI assigned
Apr 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Eduardo Delgado
Title
Administrator
Phone
(813) 605-9395

Specialties & licenses 1

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

Addresses

Primary practice location

5406 Hoover Blvd Ste 15
Tampa, FL 33634-5330

Mailing address

5406 Hoover Blvd Ste 15
Tampa, FL 33634-5330

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
10D2331449Adc Dialysis LLC5406 Hoover Blvd, Suite 15 Unit 4, Tampa, FL 33634Certificate of waiverOct 1, 2027

National Provider Directory

National Provider Directory

Locations

5406 Hoover Blvd
Ste 15
Tampa, FL 33634
Phone (813) 605-9395

NPI Registry JSON

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1972291375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5406 HOOVER BLVD STE 15",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5406 HOOVER BLVD STE 15",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345330",
            "telephone_number": "813-605-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADC DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-605-9395"
    },
    "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 Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.