Organization · Type 2 NPI

Lourdes Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Clermont, FL

NPI number 1093294548 Active

Practice location

1350 N Hancock Rd
Clermont, FL 34711-5952

Call (352) 394-0072 Map

Fax (352) 241-0433

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

Another provider at this address

Wisner Dialysis LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Clermont, FL NPI 1205341120

Other end-stage renal disease (esrd) treatment clinic/center providers in Clermont

See all in Clermont →

NPI record

NPI: 1093294548
Entity type: Organization (Type 2)
Issued: Aug 7, 2018
Last updated: Sep 10, 2026
Status: Active

Other names

<unavail>
Clermont Dialysis · doing business as
Clermont Dialysis · doing business as

Authorized official

Samuel T Wey
VP, Licensure & Certification
(615) 341-6641

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1093294548

Lourdes Dialysis LLC's National Provider Identifier is 1093294548, issued on Aug 7, 2018. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Clermont, FL. The record was last updated on Sep 10, 2026.